BE WELL COLLABORATIVE CARE CENTER (NPI# 1740727932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740727932 |
| Entity Type | Organization |
| Organization Name | BE WELL COLLABORATIVE CARE CENTER |
| Other Organization Name | BE WELL COLLABORATIVE CARE OF ALISO VIEJO |
| Practice Address |
24541 Pacific Park Dr Suite 109 Aliso Viejo CA 92656-3065 |
| Practice Telephone | 9494270999 |
| Practice Fax Number | 9494460585 |
| Mailing Telephone | 9494270999 |
| Mailing Fax Number | 9494460585 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | DR. SANJIVAN KOHLI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9493736288 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
A109968 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Be Well Collaborative Care of Aliso Viejo | Other Name - Individual/Organization |
| Street Address |
24541 PACIFIC PARK DR SUITE 109 |
| City | ALISO VIEJO |
| State | CA |
| Zip Code | 92656-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083687776 | Roland Spurgeon Beverly IIi | Dermatology | 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3065 | 2006-02-11 |
| 1881105773 | Terry Allen Wood | Respiratory Therapist, Registered | 24541 Pacific Park Dr, Aliso Viejo, CA 92656-3065 | 2017-10-18 |
| 1518325117 | Cima Mazar-atabaki Dmd Inc | Dentist | 24541 Pacific Park Dr, Suite #104, Aliso Viejo, CA 92656-3065 | 2016-02-10 |
| 1134461353 | Su-min Wang | Dentist | 24541 Pacific Park Dr, Suite 104, Aliso Viejo, CA 92656-3065 | 2013-03-26 |
| 1912249392 | Farhang Shahzadi | Dentist | 24541 Pacific Park Dr, Suite 105, Aliso Viejo, CA 92656-3065 | 2013-03-22 |
| 1811283484 | Kenneth Hoang | Chiropractor | 24541 Pacific Park Dr, Suite 290, Aliso Viejo, CA 92656-3065 | 2011-06-22 |
| 1306075825 | Cima Mazar-atabaki | Dentist | 24541 Pacific Park Dr, Suite 104, Aliso Viejo, CA 92656-3065 | 2009-07-06 |
| 1063657245 | Mark J. Wilson | Dentist | 24541 Pacific Park Dr, Suite 105, Aliso Viejo, CA 92656-3065 | 2008-12-02 |
| 1659533677 | Roland S. Beverly IIi, M.d., P.C. | Dermatology | 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3065 | 2008-07-01 |
| 1881892966 | Aliso Niguel Dental Group | Dentist | 24541 Pacific Park Dr, Ste 105, Aliso Viejo, CA 92656 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
| 1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
| 1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
| 1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
| 1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
| 1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
| 1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
| 1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
| 1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
| 1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
| Find all providers in zip 92656 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704244 | Inna Rostker, Dds A PC | Internal Medicine | 109 Stevenson Street Suite 200, San Francisco, CA 94105 | 2019-08-08 |
| 1508215773 | Dr Lisa Shives, Md, PC | Internal Medicine | 1853 Lyndon Rd, San Diego, CA 92103-1644 | 2016-06-08 |
| 1881060499 | Bakersfield Sleep Center | Internal Medicine | 1141 Pacific St Ste F, San Luis Obispo, CA 93401-3307 | 2015-08-18 |
| 1659752798 | Evergreen Sleep Center | Internal Medicine | 2365 Quimby Rd, Suite 210, San Jose, CA 95122-1337 | 2015-06-15 |
| 1073947305 | Advanced Sleep and Gastroenterology Laboratories, Inc | Internal Medicine | 4206 Technology Dr, Suite 2, Modesto, CA 95356-8769 | 2013-08-22 |
| 1558665562 | Puja Anil Thakkar | Internal Medicine | 400 El Cerro Blvd #107, Golden Gate Sleep Centers, Danville, CA 94526-1731 | 2011-01-05 |
| 1770884389 | Justin A. Fu, Md A Medical Corporation | Internal Medicine | 6627 Murrietta Ct, Rancho Cucamonga, CA 91739-9556 | 2010-11-12 |
| 1073746236 | Ravindrachandrashekhar, Md Inc | Internal Medicine | 18523 Corwin Rd Ste C, Apple Valley, CA 92307-2300 | 2009-09-03 |
| 1942447453 | Institute for Sleep Medicine | Internal Medicine | 801 Orange Avenue, Suite 204, Coronado, CA 92118-2663 | 2009-01-21 |
| 1164674248 | Darya Soto Md Inc | Internal Medicine | 100 Rowland Way Ste 300, Novato, CA 94945-5041 | 2008-10-21 |
| Find all providers with the same taxonomy | ||||
| City | ALISO VIEJO |
| Zip Code | 92656 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.