Elemental Living Ca LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELEMENTAL LIVING CA LLC

Practice address

56553 Highway 371 Suite B1
Anza, CA 92539

Phone

(954) 231-5484

Fax

(239) 379-4385

NPI assigned

Jan 6, 2026

Last updated

Jan 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abbey Hernandez, DC

Title

Ceo

Phone

(714) 326-7647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1134086739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALMERIA AVE STE 240",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56553 HIGHWAY 371 SUITE B1",
            "city": "ANZA",
            "state": "CA",
            "postal_code": "92539",
            "telephone_number": "954-231-5484",
            "fax_number": "239-379-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL LIVING CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-326-7647",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anza Medical Center
• Jennifer Ann Conrad, NP-C
• Susan Crane
• Dap Health, Inc. (DAP Health - Mobile Dental Unit #8)
• Dap Health, Inc. (DAP Health-Anza Community Health Center)
• Lawrence Gordon Foster, M.D.
• Linda Hardee
• Monique A Lopez
• Barbara Jeanne May, LVN
• Colleen Ann Murray, LCSW

• Family Medicine Physician in Anza, CA
• Providers in Anza, 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 Jan 6, 2026; 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.