Organization Active NPI

Community Wellness America, Inc

  • Public Health & General Preventive Medicine Physician
  • San Diego, CA
National Provider Identifier
1407432289
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
COMMUNITY WELLNESS AMERICA, INC
Practice address
3111 Camino del Rio N Ste 345
San Diego, CA 92108-5720
Phone
(858) 367-3435
Fax
(619) 229-9666
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Steve Sterling, LACNPI 1073783346
Title
Chairman & Ceo
Phone
(858) 367-3435

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
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

3111 Camino del Rio N Ste 345
San Diego, CA 92108-5720

Mailing address

5835 Honors Dr
San Diego, CA 92122-2255
Phone (619) 581-5900

Other identifiers 2

IdentifierTypeStateIssuer
1073783346MedicaidCA
1285737569MedicaidCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1407432289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 HONORS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222255",
            "telephone_number": "619-581-5900",
            "fax_number": "619-229-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 345",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085720",
            "telephone_number": "858-367-3435",
            "fax_number": "619-229-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "858-367-3435",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073783346",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285737569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2021; 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.