NPIMap

Organization Active NPI

Google Wellness Center, 321

  • Non-Pharmacy Dispensing Site
  • Venice, CA
National Provider Identifier
1104193192
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A 73520 Issued in CA
Legal business name
GOOGLE WELLNESS CENTER, 321
Practice address
321 Hampton Dr
Venice, CA 90291-2696
Phone
(650) 214-6369
Fax
(650) 253-2302
NPI assigned
Nov 19, 2011
Organization subpart
Yes
Parent organization
CHS HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Authorized official

Name
David Lees
Title
Manager
Phone
(408) 348-4214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X A 73520 CA Primary

Addresses

Primary practice location

321 Hampton Dr
Venice, CA 90291-2696

Mailing address

321 Hampton Dr.
Venice, CA 90291
Phone (650) 214-6369

National Provider Directory

National Provider Directory
Tax ID family
Google Wellness Center 32118 organizations share this tax ID, including this one
Part of
Google Wellness Center 321

Other organizations with this tax ID 17

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

View all 17

Locations

321 Hampton Dr
Venice, CA 90291
Phone (650) 214-6369

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1104193192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HAMPTON DR.",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "90291",
            "telephone_number": "650-214-6369",
            "fax_number": "650-253-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HAMPTON DR",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912696",
            "telephone_number": "650-214-6369",
            "fax_number": "650-253-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOGLE WELLNESS CENTER, 321",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, LLC",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "LEES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-348-4214"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A 73520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.