Wellness Mobile Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WELLNESS MOBILE CLINIC

Practice address

21241 Ventura Blvd Ste 259
Woodland Hills, CA 91364-2186

Phone

(323) 899-9450

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Angie Trias Sanchez, MDNPI 1881170199

Title

President & Ceo

Phone

(323) 899-9450

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Angie Andreina Trias Sanchez, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1881170199
  Medicare reassignment NPD Authorized official
• Maria Samantha Layson

  • Family Nurse Practitioner
  • Northridge, CA
  • NPI 1447916168
  Medicare reassignment NPD
• Eliezer M Yachini, FNP-BC

  • Family Nurse Practitioner
  • Winnetka, CA
  • NPI 1205677523
  Medicare reassignment NPD
• Jaylene Thien Nguyen, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1720542665
  Medicare reassignment
• Brandon Wong, PA-C

  • Physician Assistant
  • Baldwin Park, CA
  • NPI 1194404632
  Medicare reassignment

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1376378810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215730",
            "telephone_number": "844-960-2673",
            "fax_number": "818-356-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD STE 259",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642186",
            "telephone_number": "323-899-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MOBILE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "TRIAS SANCHEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "323-899-9450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Welch
• Carol A. Welles, MD
• Natalie A Welles
• Wellness Iop PC
• Wellness LTC Pharmacy
• Wellness Specialty Pharmacy Inc
• Cheyenne Wells-Jordan
• Bernadette Wells
• Felisha Wells
• Wellspring Hospice

• General Practice Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.