Organization Active NPI

Internal Wellness Medical Center, Inc.

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1427235142
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42023 Issued in CA
Legal business name
INTERNAL WELLNESS MEDICAL CENTER, INC.
Practice address
2621 S Bristol St Ste 307
Santa Ana, CA 92704-5719
Phone
(714) 918-3070
Fax
(714) 918-3073
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Alan C Schwartz, MDNPI 1023183480
Title
Ceo
Phone
(714) 918-3070

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A42023 CA Primary

Addresses

Primary practice location

2621 S Bristol St Ste 307
Santa Ana, CA 92704-5719

Mailing address

2621 S Bristol St Ste 307
Santa Ana, CA 92704-5719
Phone (714) 918-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050718001034 CA Part B Supplier - Clinic/Group Practice 7911934377 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

2621 S Bristol St
Ste 307
Santa Ana, CA 92704
Phone (714) 918-3070

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": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1427235142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 307",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-918-3070",
            "fax_number": "714-918-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 307",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-918-3070",
            "fax_number": "714-918-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL WELLNESS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-918-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.