Organization Active NPI

Bienestar Is Wellbeing

  • Vision Therapy Optometrist
  • Redlands, CA
National Provider Identifier
1730007493
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
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

Updated by the provider on Jul 8, 2026

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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X Primary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.