NPIMap

Organization Active NPI

Wellconnectmds

  • Internal Medicine Physician
  • La Mesa, CA
National Provider Identifier
1215423033
Registry record updated Jul 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLCONNECTMDS
Practice address
7339 El Cajon Blvd Ste I
La Mesa, CA 91942-7435
Phone
(619) 370-9939
NPI assigned
Jul 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2018

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

Authorized official

Name
Venu Prabaker, MDNPI 1467401042
Title
Owner
Phone
(619) 370-9939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7339 El Cajon Blvd Ste I
La Mesa, CA 91942-7435

Mailing address

7339 El Cajon Blvd Ste I
La Mesa, CA 91942-7435
Phone (619) 698-0606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530662400000",
    "number": "1215423033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7339 EL CAJON BLVD STE I",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427435",
            "telephone_number": "619-698-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7339 EL CAJON BLVD STE I",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427435",
            "telephone_number": "619-370-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCONNECTMDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-04",
        "status": "A",
        "authorized_official_last_name": "PRABAKER",
        "authorized_official_first_name": "VENU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-370-9939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.