Organization Active NPI

Forte Wellness Inc

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1023461555
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31709 Issued in CA
Legal business name
FORTE WELLNESS INC
Practice address
1028 N. Lake Ave
Suite 205
Pasadena, CA 91104-4570
Phone
(626) 698-8784
Fax
(626) 389-8994
NPI assigned
Jul 20, 2016
Last updated
Jul 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bernardo Perez III, D. C.
Title
Chiropractor
Phone
(626) 698-8784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31709 CA Primary

Addresses

Primary practice location

1028 N. Lake Ave
Suite 205
Pasadena, CA 91104-4570

Mailing address

1028 N. Lake Ave
Suite 205
Pasadena, CA 91104-4570
Phone (626) 698-8784

National Provider Directory

National Provider Directory

Locations

1028 N Lake Ave
Ste 205
Pasadena, CA 91104
Phone (626) 486-6037

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1023461555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N. LAKE AVE",
            "address_2": "SUITE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044570",
            "telephone_number": "626-698-8784",
            "fax_number": "626-389-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N. LAKE AVE",
            "address_2": "SUITE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044570",
            "telephone_number": "626-698-8784",
            "fax_number": "626-389-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "626-698-8784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.