Ford Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A122580 Issued in CA

Legal business name

FORD WELLNESS CENTER

Practice address

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

Phone

(844) 392-7844

Fax

(844) 392-7844

NPI assigned

Feb 7, 2014

Last updated

Jul 8, 2016By 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

Dr. Nathan D Ford, M.D.NPI 1427363985

Title

Owner

Phone

(310) 780-7594

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

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

Other organizations with this tax ID 1

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

• Ford Wellness Center, a Medical Corporation

  • Non-Pharmacy Dispensing Site
  • West Hollywood, CA
  • NPI 1184081309
  NPD tax ID

Locations

Practitioners 1

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.

• Nathan D Ford, MD

  • General Practice Physician
  • Beverly Hills, CA
  • NPI 1427363985
  NPD (past) Authorized official

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1205250594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SANTA MONICA BLVD",
            "address_2": "SUITE #208",
            "city": "W HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465177",
            "telephone_number": "844-392-7844",
            "fax_number": "323-952-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SANTA MONICA BLVD",
            "address_2": "STE 209",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465177",
            "telephone_number": "844-392-7844",
            "fax_number": "844-392-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-780-7594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A122580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A122580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Danielle Flores Simons, DNAP
• Veronica Flores
• Sara Fonda, SUDRC
• Timbrely Fong, MD
• Natalie Foo, R.N., PMHNP
• Ford Wellness Center, a Medical Corporation
• Frederick Richard Ford
• Taylor Anne Foreman
• Nell Abigail Forman, M.D.
• Nazilla Forootan, MD

• Family Medicine Physician in West Hollywood, CA
• Providers in West Hollywood, 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 Jul 8, 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.