Preventive Health Essentials Inc

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

G1112004 Issued in CA

Legal business name

PREVENTIVE HEALTH ESSENTIALS INC

Doing business as

Easy Clinic

Practice address

43875 Washington St
Suite #C
Palm Desert, CA 92211-8249

Phone

(951) 539-8984

NPI assigned

Dec 26, 2006

Organization subpart

Yes

Parent organization

PREVENTIVE HEALTH ESSENTIALS INCAs reported in NPPES

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

Authorized official

Name

Dr. Martha N Mozia, DNP,GNP/FNP, PMH-BC

Title

Ceo

Phone

31053955722

Specialties & licenses 10

Addresses

Other names 1

• Easy Clinic Doing business as

Part of

Preventive Health Essentials Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha N Adigwe-Mozia, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pinedale, CA
  • NPI 1225186133

  Gerontology

  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1235294893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 CRENSHAW BLVD",
            "address_2": "SUITE 224",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013123",
            "telephone_number": "310-539-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43875 WASHINGTON ST",
            "address_2": "SUITE #C",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118249",
            "telephone_number": "951-539-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE HEALTH ESSENTIALS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENTIVE HEALTH ESSENTIALS INC",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "MOZIA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "31053955722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,GNP/FNP, PMH-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "514131",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "514131",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "11282",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Gerontology",
            "state": "CA",
            "license": "514131",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "514131",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "514131",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "95090658",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "G1112004",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "11282",
            "primary": false
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": "CA",
            "license": "11282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gerontology Nurse Practitioner in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Gerontology Nurse Practitioner in California

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