Aliso Health and Wellness

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ALISO HEALTH AND WELLNESS

Practice address

1525 Wilson St
San Bernardino, CA 92411-1645

Phone

(909) 699-2599

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Jeanette Gonzalez

Title

Ceo

Phone

(909) 699-2599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1720801723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WILSON ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111645",
            "telephone_number": "909-699-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WILSON ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111645",
            "telephone_number": "909-699-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISO HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-699-2599"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mir Wasif Ali, MD
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• Enyhi Alicea
• Sigrid Marie Alicea, LMFT
• Dedrick Aliganga
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• All Lives Matter Hospice

• All providers in San Bernardino, CA
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.