Organization Active NPI

Secoya Medical and Wellness Center

  • Multi-Specialty Clinic/Center
  • Wasco, CA
National Provider Identifier
1467576025
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SECOYA MEDICAL AND WELLNESS CENTER
Practice address
620 E St
Wasco, CA 93280-1918
Phone
(661) 758-5131
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deniss Campbell, DC
Title
Owner
Phone
(661) 758-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

620 E St
Wasco, CA 93280-1918

Mailing address

PO Box 793
Wasco, CA 93280-0793
Phone (661) 758-5131

National Provider Directory

National Provider Directory

Locations

620 E St
Wasco, CA 93280
Phone (661) 758-5131

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467576025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932800793",
            "telephone_number": "661-758-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801918",
            "telephone_number": "661-758-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOYA MEDICAL AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DENISS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-758-5131",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.