CJ Wellnet Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CJ WELLNET INC

Doing business as

Wellnet Medi-Van Transportation

Practice address

2021 E 4TH St.
209
Santa Ana, CA 92705-3913

Phone

(714) 665-6591

Fax

(714) 632-8409

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Matthew F. Sprowls

Title

Vice President

Phone

(714) 337-1671

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Wellnet Medi-Van Transportation Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1558448167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E 4TH ST.",
            "address_2": "209",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053913",
            "telephone_number": "714-665-6591",
            "fax_number": "714-632-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E 4TH ST.",
            "address_2": "209",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053913",
            "telephone_number": "714-665-6591",
            "fax_number": "714-632-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ WELLNET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "SPROWLS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-337-1671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01188F",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01188F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTNX10007",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellnet Medi-Van Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trinidad Cisneros, D.C.
• Citadel Diagnostics
• City of Santa Ana (City of Santa Ana Paramedic Billing)
• Tameeshah Cival, M.A.
• Valerie Felice Civelli, MD
• Steven Jefferson Clagett, MFT
• Clara Vista Optometry
• Jacklyn Susanne Clark
• Jameelah Aysa Clark
• Joan H Clark, RN

• Non-emergency Medical Transport (VAN) in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.