Organization Active NPI

Wellstrong Health LLC

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
National Provider Identifier
1073236568
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Sep 21, 2022

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.