TRAVEL WELL CORPORATION


Address: 1777 Borel Place Suite 404, San Mateo, CA 94402
Phone: 8889096551

TRAVEL WELL CORPORATION (NPI# 1912315573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912315573
Entity Type Organization
Organization Name TRAVEL WELL CORPORATION
Other Organization Name PASSPORT HEALTH
Practice Address 1777 Borel Place Suite 404
San Mateo
CA 94402
Mailing Address 8324 E. Hartford Dr. #200
Scottsdale
AZ 85255
Practice Telephone 8889096551
Practice Fax Number 4803836567
Mailing Telephone 8889096551
Mailing Fax Number 4803836567
Enumeration Date 2014-07-28
Last Update Date 2016-03-18
Authorized Official Name DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart Y
Parent Organization Name PASSPORT HEALTH FRANCHISE HOLDINGS LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Passport Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457886681 Travel Well Corporation Preventive Medicine 47 Kearny Street, Suite 701, San Francisco, CA 94108-5572 2017-04-25
1285088534 Travel Well Corporation Preventive Medicine 39239 Liberty St, Bldg D (d-4), Fremont, CA 94538-1501 2016-04-22
1912351263 Travel Well Corporation Preventive Medicine 990 Fremont Ave W, Suite W, Sunnyvale, CA 94087-3065 2016-04-22
1568870186 Travel Well Corporation Preventive Medicine 3478 Buskirk Ave, Suite 1042, Pleasant Hill, CA 94523 2014-07-28
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
1437564929 Travel Well Corporation Preventive Medicine 333 Hegenberger Road, Suite 311, Oakland, CA 94621-1461 2014-06-24
1730594227 Travel Well Corporation Preventive Medicine 1750 Montgomery St. 1st Floor, San Francisco, CA 94111 2014-06-24
1427575083 Travel Well Corporation Preventive Medicine 7901 Stoneridge Dr, Suite 430, Pleasanton, CA 94588-3654 2017-08-24
1932634771 Travel Well Corporation Preventive Medicine 3117 Geary Blvd, San Francisco, CA 94118-3316 2017-05-01
1528509064 Travel Well Corporation Preventive Medicine 300 Harding Blvd, Ste 103, Roseville, CA 95678-2471 2017-03-16

Office Location

Street Address 1777 BOREL PLACE SUITE 404
City SAN MATEO
State CA
Zip Code 94402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154227 Mark Cameron Head Non-emergency Medical Transport (VAN) 331 Sonora Drive, San Mateo, CA 94402 2020-11-06
1669032868 County of San Mateo Clinic/Center 222 Paul Scannell Dr., San Mateo, CA 94402 2019-06-19
1417443755 Suen Leung Counselor 800 Edinburgh St, San Mateo, CA 94402 2018-07-10
1760997902 Blue Lotus Connection Point of Service 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 2017-12-11
1982122503 Madeline Pielert Social Worker 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 2017-09-04
1629512348 Travis Woodmansee Marriage & Family Therapist 419 S El Dorado St, San Mateo, CA 94402 2016-12-14
1669820858 Mohan Sundareson Pediatrics 1638 South Grant St, San Mateo, CA 94402 2016-05-27
1457712572 New Life Acupuncture Clinic Acupuncturist 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 2016-03-17
1871951434 Nanami Oba Physical Therapy Assistant 20 Bennigton Dr., San Mateo, CA 94402 2016-02-10
1780059733 Adrianna Cimera Behavioral Analyst 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 2015-12-02
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770796732 Anand Chabra Preventive Medicine 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 2007-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710592126 Best Healthcare Access Preventive Medicine 3218 E Holt Ave Ste 201a, West Covina, CA 91791-2310 2020-09-11
1134739642 Wellcentrex LLC Preventive Medicine 4590 Macarthur Blvd Ste 500, Newport Beach, CA 92660-2028 2020-08-10
1548870926 Sofia Lucha Robles Castillo Preventive Medicine 9616 Micron Ave Ste 670, Sacramento, CA 95827-2699 2020-07-31
1972124485 Douglas L Hatch Preventive Medicine 680 Talbot Ave, Pacifica, CA 94044-2650 2020-05-06
1154959138 Jaime Renee Reise Preventive Medicine 8358 Santa Monica Blvd, West Hollywood, CA 90069-4313 2020-03-27
1861024515 Another Way 2 LLC Preventive Medicine 3840 Lemon St, Riverside, CA 92501-3693 2020-02-11
1275186793 Thinknetic Medical Corporation Preventive Medicine 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 2019-07-23
1396306650 Ankush Raj Gaur Preventive Medicine 21303 Oakriver Ln, Newhall, CA 91321-4679 2019-06-26
1982167565 Kristina Deguzman Preventive Medicine 9616 Micron Ave Ste 970, Sacramento, CA 95827-2627 2019-04-10
1760940902 Taby Corp. Preventive Medicine 73710 Alessandro Dr Ste A1, Palm Desert, CA 92260-3638 2019-03-06
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Competitor

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City SAN MATEO
Zip Code 94402

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Dataset Information

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.

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