Health and Wellness Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTH AND WELLNESS CENTER, INC.

Practice address

23672 Birtcher Rd.
Unit a
Lake Forest, CA 92630-1711

Phone

(949) 770-7301

Fax

(949) 770-0634

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Mohammed Mahmood Ali, MDNPI 1053405506

Title

Provider

Phone

(949) 770-7301

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Mohammed Mahmood Ali, M.D.

  • Family Medicine Physician
  • Lake Forest, CA
  • NPI 1053405506
  Medicare reassignment NPD Authorized official
• Lesa Taylor, FNP-C

  • Family Nurse Practitioner
  • San Clemente, CA
  • NPI 1730896333
  Medicare reassignment NPD
• Amena Masood Ali, BS, PA-C

  • Medical Physician Assistant
  • Lake Forest, CA
  • NPI 1609053487
  Medicare reassignment

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1386802940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23672 BIRTCHER RD.,",
            "address_2": "UNIT A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301711",
            "telephone_number": "949-770-7301",
            "fax_number": "949-770-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23672 BIRTCHER RD.",
            "address_2": "UNIT A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301711",
            "telephone_number": "949-770-7301",
            "fax_number": "949-770-0634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Camino De Los Mares Ste 20",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926732859",
            "country_code": "US",
            "telephone_number": "949-492-4622",
            "fax_number": "949-492-4634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "MAHMOOD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "949-770-7301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A836880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.