Back to Prevention Inc

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

BACK TO PREVENTION INC

Practice address

3706 Ruffin Rd Ste 129
San Diego, CA 92123-1812

Phone

(858) 587-1822

Fax

(858) 587-8967

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Elly Hann, DONPI 1649721150

Title

President

Phone

(619) 517-8748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Elly Hann, D.O.

  • Adult Medicine Physician
  • San Diego, CA
  • NPI 1649721150
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1245081157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 ALEXIA PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162235",
            "telephone_number": "619-517-8748",
            "fax_number": "858-587-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 RUFFIN RD STE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231812",
            "telephone_number": "858-587-1822",
            "fax_number": "858-587-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO PREVENTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "HANN",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-517-8748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Bachmann, M.D.
• Leiana Bacho
• Yana O Bachynsky
• Janelle S Bacino, D.D.S.
• Back in Action Physical Therapy Inc.
• Back to Prevention, LLC
• Haley Back
• Lisa Henriksen Backer, PH.D.
• Rushton Arthur Backer, PHD
• Kassady Backes

• Preventive Medicine/Occupational Environmental Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.