Nuglow Wellness Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NUGLOW WELLNESS CENTER

Practice address

6282 Irvine Blvd Ste 36
Irvine, CA 92620-2103

Phone

(949) 866-8818

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Evangeline Nadeau

Title

Owner

Phone

(949) 866-8818

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1689423006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 IRVINE BLVD STE 36",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6282 IRVINE BLVD STE 36",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202103",
            "telephone_number": "949-866-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUGLOW WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-866-8818"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nu Leaf Mental Health Group Professional Nursing Corporation
• Nu Wave Eswt
• Ivy Jazel Nucum
• Lynn DO Nugent, M.D.
• Mary Ann Nugent, PSYD
• Aliyah H Nunez
• Anthony Nunez
• Emilia Nunez, RBT
• Victoria Nungaray
• Chelsea Rene Nunn

• Internal Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.