Organization Active NPI

Hydralux Wellness

  • Primary Care Clinic/Center
  • Sacramento, CA
National Provider Identifier
1477343366
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HYDRALUX WELLNESS
Practice address
189 Julia Island Cir
Sacramento, CA 95834-7762
Phone
(213) 273-4415
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mohammadreza JafarishourijehNPI 1306543970
Title
Ceo
Phone
(213) 273-4415

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
Family Medicine Physician 207Q00000X
Infusion Therapy Clinic/Center 261QI0500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

189 Julia Island Cir
Sacramento, CA 95834-7762

Mailing address

189 Julia Island Cir
Sacramento, CA 95834-7762

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": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1477343366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 JULIA ISLAND CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 JULIA ISLAND CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347762",
            "telephone_number": "213-273-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRALUX WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "JAFARISHOURIJEH",
        "authorized_official_first_name": "MOHAMMADREZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-273-4415"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.