CV Advanced Wellness Medical Group, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CV ADVANCED WELLNESS MEDICAL GROUP, INC

Practice address

3180 Willow LN Ste 206
Thousand Oaks, CA 91361-4941

Phone

(805) 435-1200

NPI assigned

Jun 21, 2019

Organization subpart

No

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

Authorized official

Name

Brandi Caro

Title

Founder

Phone

(661) 312-1275

Specialties & licenses 1

Addresses

Practitioners 1

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

• Allen L Lawrence, MD

  • General Practice Physician
  • Tarzana, CA
  • NPI 1013956671
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1396306239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 206",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 206",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614941",
            "telephone_number": "805-435-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CV ADVANCED WELLNESS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "CARO",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "661-312-1275"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Cunningham
• Curasafe Outpatient Surgery Center LLC
• Justine Curtis, MS
• Brenda Mae Curts
• Custom P.T., a Physical Therapy Corp
• Cynthia Jacobson Health and Wellness Inc
• Sydney Nichole Czuprynski
• Genesis D'Andrea
• Yann Dacquay
• Robert Dacuma

• Health Service Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.