Organization Active NPI

Integrative Wellness Medical Group, Inc

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1497294243
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
75231 Issued in CA
Legal business name
INTEGRATIVE WELLNESS MEDICAL GROUP, INC
Practice address
1800 N Bush St Ste 102
Santa Ana, CA 92706-4110
Phone
(949) 722-4001
Fax
(714) 547-8788
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Joseph Michael Tagliarini, D.C.NPI 1013202126
Title
Vice President
Phone
(949) 836-4477

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 75231 CA Primary

Addresses

Primary practice location

1800 N Bush St Ste 102
Santa Ana, CA 92706-4110

Mailing address

PO Box 19188
Irvine, CA 92623-9188
Phone (949) 722-4001

National Provider Directory

National Provider Directory

Locations

1800 N Bush St
Ste 102
Santa Ana, CA 92706
Phone (949) 722-4001

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1497294243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19188",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926239188",
            "telephone_number": "949-722-4001",
            "fax_number": "714-547-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BUSH ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927064110",
            "telephone_number": "949-722-4001",
            "fax_number": "714-547-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "TAGLIARINI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "949-836-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "75231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.