Mindfield Wellness

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

MINDFIELD WELLNESS

Practice address

6330 San Vicente Blvd Ste 510
Los Angeles, CA 90048-5455

Phone

(310) 658-4008

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By 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

Edward J BatesNPI 1467045542

Title

Ceo

Phone

(310) 658-4008

Specialties & licenses 2

Addresses

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.

• Edward J Bates

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
  • NPI 1467045542
  Authorized official Same address or phone

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1548948292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 S CRESCENT HEIGHTS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352635",
            "telephone_number": "310-658-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485455",
            "telephone_number": "310-658-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFIELD WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-658-4008"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Galace Mindanao
• Mindbody Health Group
• Marcia T. Mindell, LCSW
• Evelyne Mindes, MD
• Mindfield Medical
• Mindful CBT California, a Licensed Marriage and Family Therapy Corpora
• Mindful Clinical Services, LLC
• Mindful Clinical Services, LLC
• Mindful Growth Foundation
• Mindful Growth Foundation

• Home Infusion Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 11, 2023; 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.