NPIMap

Organization Active NPI

Heart and Wellness Center a Medical Corporation

  • Cardiovascular Disease Physician
  • National City, CA
National Provider Identifier
1386180222
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C55986 Issued in CA
Legal business name
HEART AND WELLNESS CENTER A MEDICAL CORPORATION
Practice address
502 Euclid Ave
Suite #104
National City, CA 91950-2931
Phone
(619) 434-4288
Fax
(888) 501-2443
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mariusz W Wysoczanski, M.D.NPI 1659535656
Title
Ceo
Phone
(619) 434-4288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C55986 CA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X A76050 CA
Interventional Cardiology Physician 207RI0011X A124001 CA

Addresses

Primary practice location

502 Euclid Ave
Suite #104
National City, CA 91950-2931

Mailing address

502 Euclid Ave
Suite #104
National City, CA 91950-2931
Phone (619) 434-4288

National Provider Directory

National Provider Directory

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": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1386180222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE",
            "address_2": "SUITE #104",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502931",
            "telephone_number": "619-434-4288",
            "fax_number": "888-501-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE",
            "address_2": "SUITE #104",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502931",
            "telephone_number": "619-434-4288",
            "fax_number": "888-501-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND WELLNESS CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "WYSOCZANSKI",
        "authorized_official_first_name": "MARIUSZ",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-434-4288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C55986",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A76050",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A124001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.