Initial Innovative Biowellness

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

INITIAL INNOVATIVE BIOWELLNESS

Practice address

16851 Hale Ave
Irvine, CA 92606-5020

Phone

(714) 209-9009

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By 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

Mr. Alfred SamuelNPI 1063098143

Title

Ceo

Phone

(714) 209-9009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Alfred Samuel

  • Technician/Technologist
  • Huntington Beach, CA
  • NPI 1063098143
  NPD (past) Authorized official

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1497652150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16481 WATERWAY CIR APT B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493256",
            "telephone_number": "714-209-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16851 HALE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065020",
            "telephone_number": "714-209-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INITIAL INNOVATIVE BIOWELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-209-9009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Agency in Irvine, CA
• Providers in Irvine, CA by specialty
• Home Infusion Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.