Organization Active NPI

Infinity Wellness Institute Inc

  • Cardiac Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1366297780
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
INFINITY WELLNESS INSTITUTE INC
Practice address
10780 Santa Monica Blvd Ste 350
Los Angeles, CA 90025-4779
Phone
(424) 274-1550
Fax
(920) 352-4156
NPI assigned
Apr 19, 2024
Organization subpart
Yes
Parent organization
INFINITY WELLNESS INSTITUTE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Authorized official

Name
Isabella Lai, MDNPI 1750763439
Title
President
Phone
(714) 366-5066

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC3500X
Cardiac Rehabilitation Clinic/Center 261QR0404X Primary

Addresses

Primary practice location

10780 Santa Monica Blvd Ste 350
Los Angeles, CA 90025-4779

Mailing address

10780 Santa Monica Blvd Ste 350
Los Angeles, CA 90025-4779
Phone (424) 274-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240516001324 CA Part B Supplier - Intensive Cardiac Rehabilitation 2961825575 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Infinity Wellness Institute Inc2 organizations share this tax ID, including this one
Part of
Infinity Wellness Institute Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1366297780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254779",
            "telephone_number": "424-274-1550",
            "fax_number": "920-352-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254779",
            "telephone_number": "424-274-1550",
            "fax_number": "920-352-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY WELLNESS INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFINITY WELLNESS INSTITUTE INC",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-366-5066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.