Prowellness Healthcare Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROWELLNESS HEALTHCARE INC.

Practice address

8439 White Oak Ave Ste 1038439
Rancho Cucamonga, CA 91730-0621

Phone

(818) 532-2222

Fax

(818) 591-7322

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nena Tong ArciagaNPI 1497594097

Title

President

Phone

(818) 532-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 31

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.

• Hovhannes Ghazaryan, MD

  • Pain Medicine Physician
  • Fullerton, CA
  • NPI 1851910665
  Medicare reassignment Care Compare group NPD
• Kamran K Kamrava, MD

  • General Practice Physician
  • Reseda, CA
  • NPI 1053483800
  Medicare reassignment Care Compare group NPD
• Magda L Robinson, MD

  • Family Medicine Physician
  • San Bernandino, CA
  • NPI 1871503433
  Medicare reassignment Care Compare group NPD
• Dushyant Viswanathan, M.D.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1285897421

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Esther Akhamzadeh, DNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1902302599
  Medicare reassignment NPD
• Sabrina Serah De Leon

  • Family Nurse Practitioner
  • Upland, CA
  • NPI 1417769993
  Medicare reassignment NPD
• Ismael Tabligan Gestopa, NP

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1871266890
  Medicare reassignment NPD
• Conrado Jr Guadiz

  • Family Nurse Practitioner
  • La Habra, CA
  • NPI 1942937768
  Medicare reassignment NPD
• Jerome C Marcos, NP

  • Nurse Practitioner
  • Lancaster, CA
  • NPI 1538462999
  Medicare reassignment NPD
• Mark Recio

  • Family Nurse Practitioner
  • Ontario, CA
  • NPI 1215474390
  Medicare reassignment NPD
• Mayra Roman Hernandez, FNP-C

  • Family Nurse Practitioner
  • Upland, CA
  • NPI 1679287957
  Medicare reassignment NPD
• Aristotle Santos

  • Family Nurse Practitioner
  • Norwalk, CA
  • NPI 1932659695
  Medicare reassignment NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1053150698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 WHITE OAK AVE STE 1038439",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300621",
            "telephone_number": "818-532-2222",
            "fax_number": "818-591-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 WHITE OAK AVE STE 1038439",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300621",
            "telephone_number": "818-532-2222",
            "fax_number": "818-591-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWELLNESS HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "ARCIAGA",
        "authorized_official_first_name": "NENA",
        "authorized_official_middle_name": "TONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-532-2222"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anne Edith Przybyla, AUD
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• Shanna Lynne Puels, LMFT
• Raeven Pugh

• Internal Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.