Cordillera Wellness Collective Inc

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

CORDILLERA WELLNESS COLLECTIVE INC

Practice address

2455 Jefferson Blvd Ste 100
West Sacramento, CA 95691-5329

Phone

(484) 280-8349

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Jocelyn A Jarick, PA-CNPI 1891169397

Title

Provider / Manager

Phone

(484) 280-8349

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn Jarick, PA-C

  • Physician Assistant
  • Fountain Hill, PA
  • NPI 1891169397
  NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1083457154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 SAN SALVADOR ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915925",
            "telephone_number": "484-280-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON BLVD STE 100",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915329",
            "telephone_number": "484-280-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDILLERA WELLNESS COLLECTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "JARICK",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER / MANAGER",
        "authorized_official_telephone_number": "484-280-8349",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marc L. Concepcion, D.O.
• Monique E Contreras
• Camiya Elicia-Rei Cook I
• Paul Clifford Copeland, D.O.
• Nicholas George Cornes, MD
• Maria Corrales
• Kelly Crittenden
• CTC Triad, Inc.
• Patricia Ann Current, CAADACII

• Integrative Medicine Physician in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Integrative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.