Envision Personalized Health

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ENVISION PERSONALIZED HEALTH

Practice address

4620 Alvarado Canyon Rd
Suite 14
San Diego, CA 92120-4320

Phone

(619) 229-9695

Fax

(619) 229-9666

NPI assigned

Jan 19, 2013

Organization subpart

No

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

Authorized official

Name

Vanessa L Billen

Title

Manager

Phone

(619) 229-9695

Specialties & licenses 4

Addresses

Tax ID family

Envision Personalized Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Envision Personalized Health

  • Health Educator
  • San Diego, CA
  • NPI 1194103960
  NPD tax ID

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

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358553600000",
    "number": "1710225172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 ALVARADO CANYON RD",
            "address_2": "SUITE 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204320",
            "telephone_number": "619-229-9695",
            "fax_number": "619-229-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 ALVARADO CANYON RD",
            "address_2": "SUITE 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204320",
            "telephone_number": "619-229-9695",
            "fax_number": "619-229-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION PERSONALIZED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-19",
        "last_updated": "2013-01-19",
        "status": "A",
        "authorized_official_last_name": "BILLEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-229-9695"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Entra Health Systems LLC
• Entreluz Psychiatry: a Nursing Corporation
• Deborah Enverga
• Jessica Michele Envia
• Envision Personalized Health
• Envision Step LLC
• Ozioma Amarachi Enworom, NP-C
• Hanson Royse Enyeart, B.A.
• Stephanie Eonta, DO
• Sophia J Epelbaum

• Health Maintenance Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; 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.