Ford Wellness Center, a Medical Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A122580 Issued in CA

Legal business name

FORD WELLNESS CENTER, A MEDICAL CORPORATION

Practice address

7901 Santa Monica Blvd
Suite 209
West Hollywood, CA 90046-5177

Phone

(844) 392-7844

Fax

(888) 431-8819

NPI assigned

Jan 19, 2016

Organization subpart

Yes

Parent organization

FORD WELLNESS CENTER, A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Nathan Ford, M.D.

Title

Owner

Phone

(844) 392-7844

Specialties & licenses 1

Addresses

Tax ID family

Ford Wellness Center2 organizations share this tax ID, including this one

Part of

Ford Wellness Center

Other organizations with this tax ID 1

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

• Ford Wellness Center

  • Family Medicine Physician
  • West Hollywood, CA
  • NPI 1205250594
  NPD tax ID

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1184081309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SANTA MONICA BLVD",
            "address_2": "SUITE 209",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465177",
            "telephone_number": "844-392-7844",
            "fax_number": "888-431-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD WELLNESS CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORD WELLNESS CENTER, A MEDICAL CORPORATION",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-392-7844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A122580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Flores
• Sara Fonda, SUDRC
• Timbrely Fong, MD
• Natalie Foo, R.N., PMHNP
• Ford Wellness Center
• Frederick Richard Ford
• Taylor Anne Foreman
• Nell Abigail Forman, M.D.
• Nazilla Forootan, MD
• Forward International LLC

• Non-Pharmacy Dispensing Site in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.