NPIMap

Organization Active NPI

JG Performance Fitness, Inc.

Doing business as Healthwest Therapy

  • Physical Therapy Clinic/Center
  • San Marcos, CA
National Provider Identifier
1497147060
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
35685 Issued in CA
Legal business name
JG PERFORMANCE FITNESS, INC.
Doing business as
Healthwest Therapy
Practice address
1482 La Mirada Dr
San Marcos, CA 92078-2414
Phone
(619) 373-6100
Fax
(559) 639-5250
NPI assigned
Feb 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Mrs. Gwendolyn R Alden, PTNPI 1447583067
Title
Owner/Ceo
Phone
(619) 373-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 35685 CA Primary

Addresses

Primary practice location

1482 La Mirada Dr
San Marcos, CA 92078-2414

Mailing address

390 Avenida la Cuesta
San Marcos, CA 92078-4207
Phone (619) 373-6100

Other names 1

  • Healthwest Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1497147060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AVENIDA LA CUESTA",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784207",
            "telephone_number": "619-373-6100",
            "fax_number": "559-639-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 LA MIRADA DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782414",
            "telephone_number": "619-373-6100",
            "fax_number": "559-639-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG PERFORMANCE FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "ALDEN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "619-373-6100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "35685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthwest Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.