Organization Active NPI

Rise Wellness Center PC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1124302278
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RISE WELLNESS CENTER PC
Practice address
15300 N 90TH St
Ste 950
Scottsdale, AZ 85260-2771
Phone
(480) 941-2147
Fax
(480) 941-2157
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Dr. Jose Candelario, D.C.
Title
Owner
Phone
(619) 261-7027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

15300 N 90TH St
Ste 950
Scottsdale, AZ 85260-2771

Mailing address

5030 Bonita Rd
Ste. B
Bonita, CA 91902-1700
Phone (619) 261-7027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1124302278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BONITA RD",
            "address_2": "STE. B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021700",
            "telephone_number": "619-261-7027",
            "fax_number": "619-479-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 N 90TH ST",
            "address_2": "STE 950",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602771",
            "telephone_number": "480-941-2147",
            "fax_number": "480-941-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-261-7027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.