Advanced Wellness and Nutrition Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

22103 Issued in CA

Legal business name

ADVANCED WELLNESS AND NUTRITION CENTER

Practice address

321 Los Gatos Saratoga Rd
Los Gatos, CA 95030-5310

Phone

(408) 395-6995

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marianne Nielsen, DCNPI 1437350949

Title

Owner

Phone

(408) 395-6995

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Marianne Nielsen, DC

  • Chiropractor
  • Los Gatos, CA
  • NPI 1437350949
  Authorized official Same address or phone
• Kim Millman, MD PHD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1982863775
  NPD (past)

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1487911608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LOS GATOS SARATOGA RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305310",
            "telephone_number": "408-395-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LOS GATOS SARATOGA RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305310",
            "telephone_number": "408-395-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS AND NUTRITION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-395-6995",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "22103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.