Optimal Healthcare Solutions

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51981 Issued in CA

Legal business name

OPTIMAL HEALTHCARE SOLUTIONS

Doing business as

Optimal Wellness Pharmacy

Practice address

4200 Trabuco Rd Ste 190
Irvine, CA 92620-3659

Phone

(949) 861-3170

Fax

(949) 861-3179

NPI assigned

Jul 15, 2014

Last updated

Jul 16, 2020By 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

Katheirne Diep-Kwei

Title

President

Phone

(949) 861-3164

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Optimal Wellness Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1518374156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD",
            "address_2": "SUITE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203600",
            "telephone_number": "949-861-3170",
            "fax_number": "949-861-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203659",
            "telephone_number": "949-861-3170",
            "fax_number": "949-861-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "DIEP-KWEI",
        "authorized_official_first_name": "KATHEIRNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-861-3164"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51981",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518374156",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Irvine, CA
• Providers in Irvine, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.