Active NPI
Wellstrong Health LLC
- Physical Medicine & Rehabilitation Physician
- San Jose, CA
National Provider Identifier
1073236568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- WELLSTRONG HEALTH LLC
- Practice address
- 1600 Saratoga Ave Unit 46
San Jose, CA 95129-5101 - Phone
- (949) 615-9065
- NPI assigned
- Sep 21, 2022
- 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
- Pat Byrnes
- Title
- Business Consultant
- Phone
- (949) 615-9065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1600 Saratoga Ave Unit 46
San Jose, CA 95129-5101
Mailing address
6125 Paseo del Norte Ste 210
Carlsbad, CA 92011-1113
National Provider Directory
National Provider DirectoryLocations
1600 Saratoga Ave
Unit 46
San Jose, CA 95129
Phone (949) 615-9065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1073236568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 PASEO DEL NORTE STE 210",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SARATOGA AVE UNIT 46",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951295101",
"telephone_number": "949-615-9065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSTRONG HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "BYRNES",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "BUSINESS CONSULTANT",
"authorized_official_telephone_number": "949-615-9065"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.