NPIMap

Organization Active NPI

Wellness & Equity Foundation Inc.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1043059348
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELLNESS & EQUITY FOUNDATION INC.
Practice address
969 E 12TH St Ste D
Los Angeles, CA 90021-2201
Phone
(408) 341-9606
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
William Randall
Title
Manager of Strategic Initiatives
Phone
(913) 548-5987

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

969 E 12TH St Ste D
Los Angeles, CA 90021-2201

Mailing address

250 Quail Ridge Rd
Scotts Valley, CA 95066-4821
Phone (917) 648-1068

Other practice location 1

160 N Luring Dr Ste D
Palm Springs, CA 92262-6840
Phone (917) 648-0687

Other names 1

  • WEI Doing business as

National Provider Directory

National Provider Directory

Locations

969 E 12th St
Ste D
Los Angeles, CA 90021
Phone (408) 341-9606

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1043059348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 QUAIL RIDGE RD",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664821",
            "telephone_number": "917-648-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 E 12TH ST STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900212201",
            "telephone_number": "408-341-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N Luring Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922626840",
            "country_code": "US",
            "telephone_number": "917-648-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS & EQUITY FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER OF STRATEGIC INITIATIVES",
        "authorized_official_telephone_number": "913-548-5987"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.