Organization Active NPI

Back to Prevention, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • San Diego, CA
National Provider Identifier
1326801259
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
BACK TO PREVENTION, LLC
Practice address
3706 Ruffin Rd # 129
San Diego, CA 92123-1812
Phone
(858) 587-1822
Fax
(858) 587-8967
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Elly Hann, DO, MSNPI 1649721150
Title
Owner Manager
Phone
(619) 517-8748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

3706 Ruffin Rd # 129
San Diego, CA 92123-1812

Mailing address

3604 Alexia PL
San Diego, CA 92116-2235
Phone (619) 517-8748

National Provider Directory

National Provider Directory

Locations

3706 Ruffin Rd
#129
San Diego, CA 92123
Phone (858) 587-1822

Practitioners & affiliated clinicians

Practitioners 1

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": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1326801259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 ALEXIA PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162235",
            "telephone_number": "619-517-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 RUFFIN RD # 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231812",
            "telephone_number": "858-587-1822",
            "fax_number": "858-587-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO PREVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "HANN",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "619-517-8748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, MS"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.