PMD Wellness Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PMD WELLNESS CENTER INC.

Practice address

PMD Wellness Center Inc
1187 E. Anaheim St.
Long Beach, CA 90813-3663

Phone

(562) 599-2119

Fax

(562) 218-7062

NPI assigned

Jun 6, 2019

Organization subpart

No

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

Authorized official

Name

Isaias Paja Jr., M.D.

Title

Medical Director

Phone

(562) 599-2119

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• PMD Wellness Center Inc

  • Multi-Specialty Clinic/Center
  • Long Beach, CA
  • NPI 1801505730
  NPPES parent name

Practitioners 1

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

• Susan T. Manabo, FNP

  • Family Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1063437754
  NPD

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1104485887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMD WELLNESS CENTER INC",
            "address_2": "1187 E. ANAHEIM ST.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133663",
            "telephone_number": "562-599-2119",
            "fax_number": "562-218-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMD WELLNESS CENTER INC",
            "address_2": "1187 E. ANAHEIM ST.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133663",
            "telephone_number": "562-599-2119",
            "fax_number": "562-218-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMD WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "PAJA",
        "authorized_official_first_name": "ISAIAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-599-2119",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Pletka, MFT
• Lakesha Pleze
• Reshea Plunkett-Benford
• PM Fakheri Dental Corp.
• PMD Wellness Center Inc
• Daniela Francesca Poblete
• Kathy Pock-Trujillo
• Audrey Podresov
• Eleanor Poe, CCC-SLP
• Kimberly Poehler, MA, LMFT

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.