Active NPI
Strategic Wellness Inc
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1326681560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200109000394 | CA | Part B Supplier - Clinic/Group Practice | 1052746609 | Practice locations: San Francisco, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- San Francisco, CA
- NPI 1336220854
-
- Adult Medicine Physician
- Fort Bragg, CA
- NPI 1780605097
-
- Family Nurse Practitioner
- San Francisco, CA
- NPI 1548388861
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.