Active NPI
Curative Wellness LLC
- General Practice Physician
- San Dimas, CA
National Provider Identifier
1295342830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2021
- 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
- Mr. Frederick Turner
- Title
- Ceo
- Phone
- (650) 713-8928
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | |||
| General Practice Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210427001720 | UT | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719395912 | Practice locations: Salt Lake City, UT |
National Provider Directory
National Provider DirectoryLocations
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.