NPIMap

Organization Active NPI

Wonderful Center for Health Innovation Inc

  • Primary Care Clinic/Center
  • Avenal, CA
National Provider Identifier
1245832336
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Practice address
1225 S 7TH Ave
Avenal, CA 93204-2301
Phone
(661) 797-6607
Fax
(661) 797-6708
NPI assigned
Nov 12, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
WONDERFUL CENTER FOR HEALTH INNOVATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Lawrence I Wolk, MD MSPH
Title
Chief Medical Officer
Phone
(310) 966-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1225 S 7TH Ave
Avenal, CA 93204-2301

Mailing address

13646 Highway 33
Lost Hills, CA 93249-9719
Phone (661) 797-6607

National Provider Directory

National Provider Directory
Tax ID family
Wonderful Center for Health Innovation Inc6 organizations share this tax ID, including this one
Part of
Wonderful Center for Health Innovation Inc

Other organizations with this tax ID 5

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

Locations

1225 S 7th Ave
Avenal, CA 93204
Phone (559) 386-9083

13646 Highway 33
Lost Hills, CA 93249
Phone (661) 797-6606

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1245832336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13646 HIGHWAY 33",
            "city": "LOST HILLS",
            "state": "CA",
            "postal_code": "932499719",
            "telephone_number": "661-797-6607",
            "fax_number": "661-979-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S 7TH AVE",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932042301",
            "telephone_number": "661-797-6607",
            "fax_number": "661-797-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL CENTER FOR HEALTH INNOVATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WONDERFUL CENTER FOR HEALTH INNOVATION INC",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "310-966-8226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MSPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenal, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.