Organization Active NPI

Cabana Wellness, Inc.

  • Health Service Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1720973225
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CABANA WELLNESS, INC.
Practice address
2346 Westwood Blvd Ste 5
Los Angeles, CA 90064-2125
Phone
(408) 394-5435
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Mr. Justin Cabana
Title
Chief Executive Officer
Phone
(408) 394-5435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2346 Westwood Blvd Ste 5
Los Angeles, CA 90064-2125

Mailing address

11301 W Olympic Blvd # 121364
Los Angeles, CA 90064-1653
Phone (408) 394-5435

National Provider Directory

National Provider Directory

Locations

11301 W Olympic Blvd
#121364
Los Angeles, CA 90064

2346 Westwood Blvd
Ste 5
Los Angeles, CA 90064
Phone (408) 394-5435

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1720973225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 W OLYMPIC BLVD # 121364",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641653",
            "telephone_number": "408-394-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 WESTWOOD BLVD STE 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642125",
            "telephone_number": "408-394-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABANA WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "CABANA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-394-5435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.