Organization Active NPI

Pinnacle Well Health LLC

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1528827466
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PINNACLE WELL HEALTH LLC
Practice address
3756 Santa Rosalia Dr Ste 100
Los Angeles, CA 90008-3617
Phone
(323) 596-3530
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Sharon Logan
Title
Coo
Phone
(614) 316-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3756 Santa Rosalia Dr Ste 100
Los Angeles, CA 90008-3617

Mailing address

1171 Trappers CT
The Villages, FL 32163-2746
Phone (614) 316-6166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1528827466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 TRAPPERS CT",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632746",
            "telephone_number": "614-316-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083617",
            "telephone_number": "323-596-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE WELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "614-316-6166"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.