Active NPI
Community Virtual Wellness
- Health Service Clinic/Center
- Paso Robles, CA
National Provider Identifier
1619704293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- COMMUNITY VIRTUAL WELLNESS
- Practice address
- 1208 Corral Creek Ave Apt 4
Paso Robles, CA 93446-5013 - Phone
- (404) 790-0911
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvonne Jones-Wicks, PHYSICIAN ASSOCIATE
- Title
- Owner
- Phone
- (404) 790-0911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1208 Corral Creek Ave Apt 4
Paso Robles, CA 93446-5013
Mailing address
1241 Johnson Ave # 316
San Luis Obispo, CA 93401-3306
Phone (404) 790-0911
Other names 1
- Community Virtual Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- San Luis Obispo, CA
- NPI 1477646610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1619704293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 JOHNSON AVE # 316",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013306",
"telephone_number": "404-790-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 CORRAL CREEK AVE APT 4",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934465013",
"telephone_number": "404-790-0911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY VIRTUAL WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "JONES-WICKS",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-790-0911",
"authorized_official_credential": "PHYSICIAN ASSOCIATE"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Virtual Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paso Robles, CA
- Katie Anne Colvard, NP-C
- Community Action Partnership of San Luis Obispo County, Inc.
- Community Health Centers of the Central Coast Inc
- Community Health Centers of the Central Coast Inc
- Community Health Centers of the Central Coast, Inc.
- Deborah Jean Comstock, LVN
- Connect Hearing, Inc.
- Linda Lafata Connolly, PHD, LMFT
- Michael Joe Corley, D.D.S.
- Joel Correa, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.