Organization Active NPI

Curative Wellness LLC

  • General Practice Physician
  • San Dimas, CA
National Provider Identifier
1295342830
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CURATIVE WELLNESS LLC
Practice address
279 E Arrow Hwy Ste 201
San Dimas, CA 91773-3320
Phone
(424) 645-7575
NPI assigned
Sep 28, 2020
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Mr. Frederick Turner
Title
Ceo
Phone
(650) 713-8928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0500X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

279 E Arrow Hwy Ste 201
San Dimas, CA 91773-3320

Mailing address

430 S Cataract Ave
San Dimas, CA 91773-2902
Phone (888) 702-9042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427001720 UT Part B Supplier - Mass Immunization (Roster Biller Only) 7719395912 Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

11431 NW 107th St
Miami, FL 33178
Phone (518) 461-9580

2275 S 900 W
South Salt Lake, UT 84119
Phone (424) 645-7575

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1295342830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S CATARACT AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732902",
            "telephone_number": "888-702-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E ARROW HWY STE 201",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733320",
            "telephone_number": "424-645-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURATIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-713-8928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.