NPIMap

Organization Active NPI

Wellspot Healthcare

  • Multi-Specialty Clinic/Center
  • Pasadena, CA
National Provider Identifier
1417535493
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WELLSPOT HEALTHCARE
Practice address
2595 E Washington Blvd Ste 108
Pasadena, CA 91107-1409
Phone
(626) 639-3887
Fax
(626) 228-2505
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Jeannie Wong, LACNPI 1831690783
Title
Ceo
Phone
(323) 639-3372

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2595 E Washington Blvd Ste 108
Pasadena, CA 91107-1409

Mailing address

2595 E Washington Blvd Ste 108
Pasadena, CA 91107-1409
Phone (626) 639-3887

National Provider Directory

National Provider Directory

Locations

2595 E Washington Blvd
Ste 108
Pasadena, CA 91107
Phone (626) 639-3887

Practitioners & affiliated clinicians

Practitioners 5

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": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1417535493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD STE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-639-3887",
            "fax_number": "626-228-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD STE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-639-3887",
            "fax_number": "626-228-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPOT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-639-3372",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.