Active NPI
Community Wellness America
- Public Health & General Preventive Medicine Physician
- San Diego, CA
National Provider Identifier
1053909986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12303712 | Other | CA | 12303712 |
National Provider Directory
National Provider Directory- Tax ID family
- Community Wellness America
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health & General Preventive Medicine Physician
- San Diego, CA
- NPI 1659957439
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
- Community Research Foundation, Inc.
- Community Reserach Foundation
- Community Reunification Project
- Community Transition Academy
- Community Wellbeing San Diego
- Community Wellness America, Inc
- Mariana D Compagnone, M.D.
- Compass Dermatopathology, Inc.
- Compass Family Center
- Compass Family Therapy Services
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.