Resilience Integrative

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RESILIENCE INTEGRATIVE

Practice address

6719 Alvarado Rd Ste 201
San Diego, CA 92120-5257

Phone

(619) 916-1211

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ajay KumraNPI 1902385644

Title

Secretary/Administrator

Phone

(619) 916-1211

Specialties & licenses 1

Addresses

Other names 1

• Resilience Integrative Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Paul Nicholas Wilson, M.D.

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1104028380
  Medicare reassignment NPD
• Ajay Kumra, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1902385644
  NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1316626492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205257",
            "telephone_number": "619-916-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205257",
            "telephone_number": "619-916-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE INTEGRATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "KUMRA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "SECRETARY/ADMINISTRATOR",
        "authorized_official_telephone_number": "619-916-1211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilience Integrative Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resilience Integrative Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmeen Resendiz
• Reservoir Physicians Surgery Center, LLC
• Reset. LLC
• Resilience Care Group Inc
• Resilience Counseling Licensed Clinical Social Worker Inc
• Resilience Naturopathic Inc.
• Resilience Within Family Counseling, Inc.
• Resilient Restoration LLC
• Resilient Roots Therapy PC
• Amy Green Resler, DPT

• Multi-Specialty Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.