NPIMap

Organization Active NPI

Greater Good Health PC, Inc.

  • Primary Care Clinic/Center
  • Ammon, ID
National Provider Identifier
1033095914
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GREATER GOOD HEALTH PC, INC.
Practice address
3017 Eagle Drive
Ammon, ID 83406
Phone
(626) 232-3929
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Sylvia Hastanan
Title
Vice President
Phone
(310) 795-8807

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

3017 Eagle Drive
Ammon, ID 83406

Mailing address

300 Continental Blvd Ste 560
El Segundo, CA 90245-5030
Phone (626) 232-3929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208001277 ID Part B Supplier - Clinic/Group Practice 5294106027 Receives reassigned benefits from 6 practitioners
Practice locations: Ammon, ID

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Greater Good Health PC Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 54)

1324 S Euclid St
Anaheim, CA 92802
Phone (714) 262-0047

15736 Woodruff Ave
Bellflower, CA 90706
Phone (562) 804-3099

595 Tamarack Ave
Ste A
Brea, CA 92821
Phone (714) 990-0110

17875 Colima Rd
Ste A
City of Industry, CA 91748
Phone (626) 964-5849

1405 W Valley Blvd
Ste 100
Colton, CA 92324
Phone (909) 783-7948

1180 W 6th St
Ste 101
Corona, CA 92882
Phone (909) 464-0347

9041 Imperial Hwy
Downey, CA 90242
Phone (562) 622-4436

172 N Raymond Ave
Fullerton, CA 92831
Phone (657) 378-6899

1950 Sunny Crest Dr
Ste 1300
Fullerton, CA 92835
Phone (714) 578-0015

238 Orangefair Mall
Fullerton, CA 92832
Phone (714) 447-3045

3214 Yorba Linda Blvd
Fullerton, CA 92831
Phone (714) 577-6940

13054 Harbor Blvd
Garden Grove, CA 92843
Phone (714) 539-3395

1505 Wilson Ter
Ste 190
Glendale, CA 91206
Phone (800) 525-9059

6850 San Fernando Rd
Glendale, CA 91201
Phone (818) 563-6102

750 W Route 66
Ste Q
Glendora, CA 91740
Phone (626) 335-2063

11300 Hawthorne Blvd
Inglewood, CA 90304
Phone (310) 419-4616

23141 Plaza Pointe Dr
Laguna Hills, CA 92653
Phone (949) 588-9211

4930 Paramount Blvd
Lakewood, CA 90712
Phone (424) 296-6870

44151 15th St W
Ste 215
Lancaster, CA 93534

3744 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 424-1403

11239 S Western Ave
Los Angeles, CA 90047
Phone (323) 242-3970

11854 Wilmington Ave
Los Angeles, CA 90059
Phone (323) 567-5077

1700 E Cesar E Chavez Ave
Ste L100
Los Angeles, CA 90033
Phone (323) 261-0484

2021 S Flower St
Los Angeles, CA 90007
Phone (213) 745-4222

5807 Avalon Blvd
Los Angeles, CA 90011
Phone (323) 233-2452

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1033095914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONTINENTAL BLVD STE 560",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455030",
            "telephone_number": "626-232-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 EAGLE DRIVE",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "83406",
            "telephone_number": "626-232-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER GOOD HEALTH PC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "HASTANAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-795-8807"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.