Active NPI
Bienestar Is Wellbeing
- Vision Therapy Optometrist
- Redlands, CA
National Provider Identifier
1730007493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- Legal business name
- BIENESTAR IS WELLBEING
- Practice address
- 621 Beauregard Cres
Redlands, CA 92373-5601 - Phone
- (917) 349-4579
- NPI assigned
- Jul 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damian Mazzotta
- Title
- Ceo
- Phone
- (917) 439-4579
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Vision Therapy Optometrist | 152WV0400X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
621 Beauregard Cres
Redlands, CA 92373-5601
Mailing address
621 Beauregard Cres
Redlands, CA 92373-5601
Phone (917) 349-4579
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1730007493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 BEAUREGARD CRES",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735601",
"telephone_number": "917-349-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 BEAUREGARD CRES",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735601",
"telephone_number": "917-349-4579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIENESTAR IS WELLBEING",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "MAZZOTTA",
"authorized_official_first_name": "DAMIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-439-4579"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.