Organization Active NPI

Advanced Weight Loss and Wellness

  • Case Management Agency
  • Lafayette, CA
National Provider Identifier
1669217972
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ADVANCED WEIGHT LOSS AND WELLNESS
Doing business as
Advanced Weight Loss and Wellness
Practice address
3244 Camino Diablo
Lafayette, CA 94549-3212
Phone
(925) 962-9160
NPI assigned
Jun 27, 2024
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Raphael Rettner D.C., DC
Title
Owner
Phone
(925) 962-9160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3244 Camino Diablo
Lafayette, CA 94549-3212

Mailing address

3244 Camino Diablo
Lafayette, CA 94549-3212
Phone (925) 962-9160

Other practice location 1

3244 Camino Diablo
Lafayette, CA 94549-3212
Phone (925) 962-9160

Other names 1

  • Advanced Weight Loss and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1669217972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 CAMINO DIABLO",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493212",
            "telephone_number": "925-962-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 CAMINO DIABLO",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493212",
            "telephone_number": "925-962-9160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3244 Camino Diablo",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945493212",
            "country_code": "US",
            "telephone_number": "925-962-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED WEIGHT LOSS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "RETTNER D.C.",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-962-9160",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Weight Loss and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.