NPIMap

Organization Active NPI

Wonderful Center for Health Innovation Inc

Doing business as Wonderful School Health Center - Lost Hills

  • Student Health Clinic/Center
  • Lost Hills, CA
National Provider Identifier
1437756103
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Doing business as
Wonderful School Health Center - Lost Hills
Practice address
14848 Lamberson Ave
Lost Hills, CA 93249
Phone
(661) 720-2660
Fax
(661) 720-2661
NPI assigned
Oct 6, 2020
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
WONDERFUL CENTER FOR HEALTH INNOVATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dr. Larry Wolk, MD MSPH
Title
Chief Medical Officer
Phone
(661) 720-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

14848 Lamberson Ave
Lost Hills, CA 93249

Mailing address

13646 Highway 33
Lost Hills, CA 93249-9719
Phone (661) 720-2660

Other names 1

  • Wonderful School Health Center - Lost Hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wonderful Center for Health Innovation Inc6 organizations share this tax ID, including this one
Part of
Wonderful Center for Health Innovation Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1437756103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13646 HIGHWAY 33",
            "city": "LOST HILLS",
            "state": "CA",
            "postal_code": "932499719",
            "telephone_number": "661-720-2660",
            "fax_number": "661-720-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14848 LAMBERSON AVE",
            "city": "LOST HILLS",
            "state": "CA",
            "postal_code": "93249",
            "telephone_number": "661-720-2660",
            "fax_number": "661-720-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL CENTER FOR HEALTH INNOVATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WONDERFUL CENTER FOR HEALTH INNOVATION INC",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "661-720-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MSPH"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderful School Health Center - Lost Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lost Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.