Active NPI
Transformation Health & Wellness
- Gynecology Physician
- Anaheim, CA
National Provider Identifier
1003420381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- TRANSFORMATION HEALTH & WELLNESS
- Practice address
- 6200 E Canyon Rim Rd Ste 105B
Anaheim, CA 92807-4313 - Phone
- (714) 900-3091
- Fax
- (714) 386-5147
- NPI assigned
- Sep 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacquelyn Diane Cortez, DO
- Title
- President
- Phone
- (714) 900-3091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
6200 E Canyon Rim Rd Ste 105B
Anaheim, CA 92807-4313
Mailing address
6200 E Canyon Rim Rd Ste 105B
Anaheim, CA 92807-4313
Phone (714) 900-3091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982732236 | Other | CA | NPI |
Other names 1
- Transformation Health & Wellness
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Dr.Chrono |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2203373 | Transformation Health & Wellness | Certificate of waiver | Dec 2, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Anaheim, CA
- NPI 1629731021
-
- Obstetrics & Gynecology Physician
- Anaheim, CA
- NPI 1982732236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599091200000",
"number": "1003420381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 E CANYON RIM RD STE 105B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928074313",
"telephone_number": "714-900-3091",
"fax_number": "714-386-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 E CANYON RIM RD STE 105B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928074313",
"telephone_number": "714-900-3091",
"fax_number": "714-386-5147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMATION HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-02",
"status": "A",
"authorized_official_last_name": "CORTEZ",
"authorized_official_first_name": "JACQUELYN",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-900-3091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1982732236",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Dr.Chrono",
"affiliation": "N",
"endpointDescription": "Dr.Chrono",
"address_1": "6200 E Canyon Rim Rd Ste 105B",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928074313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Transformation Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.