Organization Active NPI

Strategic Wellness Inc

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1326681560
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STRATEGIC WELLNESS INC
Practice address
2300 California St Ste 306
San Francisco, CA 94115-2754
Phone
(415) 202-1550
Fax
(415) 776-8233
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
John R Nienow, MD
Title
Owner
Phone
(916) 833-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2300 California St Ste 306
San Francisco, CA 94115-2754

Mailing address

2300 California St Ste 306
San Francisco, CA 94115-2754
Phone (415) 202-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109000394 CA Part B Supplier - Clinic/Group Practice 1052746609 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

2300 California St
Ste 306
San Francisco, CA 94115
Phone (415) 202-1550

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1326681560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CALIFORNIA ST STE 306",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152754",
            "telephone_number": "415-202-1550",
            "fax_number": "415-776-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CALIFORNIA ST STE 306",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152754",
            "telephone_number": "415-202-1550",
            "fax_number": "415-776-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "NIENOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-833-2002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.