NPIMap

Organization Active NPI

Travel Well Corporation

  • Public Health & General Preventive Medicine Physician
  • San Francisco, CA
National Provider Identifier
1730594227
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
TRAVEL WELL CORPORATION
Doing business as
Passport Health
Practice address
1750 Montgomery St. 1St Floor
San Francisco, CA 94111
Phone
(888) 909-6551
Fax
(480) 383-6551
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Doug Shackell
Title
Director of Finance
Phone
(480) 646-9024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

1750 Montgomery St. 1St Floor
San Francisco, CA 94111

Mailing address

8324 E Hartford Dr # 200
Scottsdale, AZ 85255
Phone (888) 909-6551

Other names 1

  • Passport Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Inadvance Medicine Associates West P C17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1730594227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 E HARTFORD DR # 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "888-909-6551",
            "fax_number": "480-383-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MONTGOMERY ST. 1ST FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94111",
            "telephone_number": "888-909-6551",
            "fax_number": "480-383-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL WELL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SHACKELL",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "480-646-9024"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.