NPIMap

Organization Active NPI

Travel Well Corporation

Doing business as Passport Health

  • Community Health Worker
  • Pleasant Hill, CA
National Provider Identifier
1568870186
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
TRAVEL WELL CORPORATION
Doing business as
Passport Health
Practice address
3478 Buskirk Ave
Suite 1000
Pleasant Hill, CA 94523
Phone
(844) 358-8648
Fax
(877) 877-6875
NPI assigned
Jul 28, 2014
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PASSPORT HEALTH FRANCHISE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Mr. Paul Fishburn
Title
Coo
Phone
(480) 646-9020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

3478 Buskirk Ave
Suite 1000
Pleasant Hill, CA 94523

Mailing address

4343 East Outlier BLV.
Suite 100W
Phoenix, AZ 85008-6507
Phone (844) 358-8648

Other names 1

  • Passport Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Inadvance Medicine Associates West P C17 organizations share this tax ID, including this one
Part of
PPH Franchise Holdings LLC

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

3478 Buskirk Ave
Ste 1042
Pleasant Hill, CA 94523

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1568870186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 EAST OUTLIER BLV.",
            "address_2": "SUITE 100W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086507",
            "telephone_number": "844-358-8648",
            "fax_number": "877-877-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE",
            "address_2": "SUITE 1000",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "94523",
            "telephone_number": "844-358-8648",
            "fax_number": "877-877-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL WELL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASSPORT HEALTH FRANCHISE HOLDINGS LLC",
        "enumeration_date": "2014-07-28",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "FISHBURN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-646-9020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.