Active NPI
Optimum Wellness and Weight Loss
- Clinic/Center
- San Clemente, CA
National Provider Identifier
1225636855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- OPTIMUM WELLNESS AND WEIGHT LOSS
- Practice address
- 910 S El Camino Real Ste 100
San Clemente, CA 92672-4279 - Phone
- (949) 363-3162
- Fax
- (888) 408-8262
- NPI assigned
- Oct 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sunao Gilbert, MD, FAARFM
- Title
- Owner
- Phone
- (949) 363-3162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
910 S El Camino Real Ste 100
San Clemente, CA 92672-4279
Mailing address
638 Camino de Los Mares # H130-103
San Clemente, CA 92673-2848
Phone (310) 595-0679
Other names 1
- Optimum Rejuvenation
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drgilbert@rejuvenatechu.com |
National Provider Directory
National Provider DirectoryLocations
638 Camino de los Mares
#H130103
San Clemente, CA 92673
910 S El Camino Real
Ste 100
San Clemente, CA 92672
Phone (949) 363-3162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1225636855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 CAMINO DE LOS MARES # H130-103",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732848",
"telephone_number": "310-595-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S EL CAMINO REAL STE 100",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724279",
"telephone_number": "949-363-3162",
"fax_number": "888-408-8262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM WELLNESS AND WEIGHT LOSS",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "SUNAO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-363-3162",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, FAARFM"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drgilbert@rejuvenatechu.com",
"affiliation": "N",
"address_1": "910 S El Camino Real Ste 100",
"city": "San Clemente",
"state": "CA",
"country_code": "US",
"postal_code": "926724279",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Optimum Rejuvenation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.