Organization Active NPI

Community Wellness America

  • Public Health & General Preventive Medicine Physician
  • San Diego, CA
National Provider Identifier
1053909986
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
COMMUNITY WELLNESS AMERICA
Practice address
4620 Alvarado Canyon Rd Ste 14
San Diego, CA 92120-4306
Phone
(619) 229-9666
Fax
(619) 299-9666
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Steve Sterling, LAC
Title
Physician/Owner
Phone
(619) 581-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

4620 Alvarado Canyon Rd Ste 14
San Diego, CA 92120-4306

Mailing address

5835 Honors Dr
San Diego, CA 92122-2255
Phone (619) 581-5900

Other identifiers 1

IdentifierTypeStateIssuer
12303712OtherCA12303712

National Provider Directory

National Provider Directory
Tax ID family
Community Wellness America2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4620 Alvarado Canyon Rd
Ste 14
San Diego, CA 92120
Phone (619) 229-9695

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1053909986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 HONORS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222255",
            "telephone_number": "619-581-5900",
            "fax_number": "619-229-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 ALVARADO CANYON RD STE 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204306",
            "telephone_number": "619-229-9666",
            "fax_number": "619-299-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "619-581-5900",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12303712",
            "identifier": "12303712",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.