Organization Active NPI

Be Wellness Group, Inc

Doing business as Be Wellness

  • Health Maintenance Organization
  • San Diego, CA
National Provider Identifier
1376040600
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
BE WELLNESS GROUP, INC
Doing business as
Be Wellness
Practice address
1792 W Washington St
San Diego, CA 92103-3766
Phone
(858) 688-4410
NPI assigned
Apr 12, 2018
Last updated
Apr 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Tate BakerNPI 1356848725
Title
Founder
Phone
(858) 688-4410

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
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1792 W Washington St
San Diego, CA 92103-3766

Mailing address

2027 Broadway
San Diego, CA 92102-1826
Phone (858) 688-4410

Other names 1

  • Be Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1792 W Washington St
San Diego, CA 92103
Phone (619) 894-6484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1376040600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 BROADWAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021826",
            "telephone_number": "858-688-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033766",
            "telephone_number": "858-688-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELLNESS GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TATE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "858-688-4410"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2018; 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.