Ultimate Wellness Program

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ULTIMATE WELLNESS PROGRAM

Practice address

10940 Wilshire Blvd Ste 1600
Los Angeles, CA 90024-3910

Phone

(424) 289-0299

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Gina Gallivan, PHD

Title

President/Ceo

Phone

(424) 289-0299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753488000000",
    "number": "1508756099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 WILSHIRE BLVD STE 1600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243910",
            "telephone_number": "424-289-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 WILSHIRE BLVD STE 1600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243910",
            "telephone_number": "424-289-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE WELLNESS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "GALLIVAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "424-289-0299",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ultimate Home Health Care of Beverly Hills
• Ultimate Home Healthcare Services, Inc
• Ultimate Lifestyle Center
• Ultimate Lifestyle Center
• Ultimate Medical Supply Inc.
• Ultimed Medical Clinic, Inc.
• Ultimum Home Health Care
• Ultimum-Care Medical Distributors
• Ultra Urgent Care
• Ultrascan Services

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.