Wellness Care Medical Group a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELLNESS CARE MEDICAL GROUP A PROFESSIONAL CORPORATION

Practice address

416 16TH Ave
San Francisco, CA 94118-2812

Phone

(415) 221-0177

NPI assigned

Nov 15, 2006

Last updated

Jan 24, 2018By 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

Maribeth Salvatin

Title

Manager

Phone

(415) 221-0177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee Tat Chan, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1992728414
  Medicare reassignment Care Compare group NPD
• Yong Liu, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1316137987
  Medicare reassignment Care Compare group NPD
• Wei Rao, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1245676360
  Medicare reassignment Care Compare group NPD
• May Yee Deng, PA-C

  • Physician Assistant
  • San Francisco, CA
  • NPI 1922300839
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1194898726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 16TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182812",
            "telephone_number": "415-221-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 16TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182812",
            "telephone_number": "415-221-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CARE MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "SALVATIN",
        "authorized_official_first_name": "MARIBETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-221-0177"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194898726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul John Weller, DDS, MS
• Sarah L Weller
• Blair Wellington, MFT
• Wellmans Pharmacy Inc (Wellmans Pharmacy #2)
• Wellmans Pharmacy Inc (Wellmans Pharmacy#1)
• Dara Wells-Hajjar, ASW
• Alexander Christopher Chung Wells
• Corinn Elisa Wells, B.A.
• Gregory Charles Wells, PHD
• Heidi Kristen Wells, MA, LMFT

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.