Forward Wellness , Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

102441 Issued in CA

Legal business name

FORWARD WELLNESS , INC.

Doing business as

Forward Wellness Treatment Center

Practice address

1041 E Yorba Linda Blvd Ste 202
Placentia, CA 92870-3760

Phone

(800) 701-0937

Fax

(800) 701-0937

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Joseph ChavezNPI 1639015753

Title

Program Manager

Phone

(714) 478-0501

Specialties & licenses 2

Addresses

Other names 2

• Forward Wellness Treatment Center Doing business as
• Forward Wellness, Inc. Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Chavez

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1639015753
  NPD Authorized official

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1730688656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 202",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703760",
            "telephone_number": "800-701-0937",
            "fax_number": "800-701-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 202",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703760",
            "telephone_number": "800-701-0937",
            "fax_number": "800-701-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD WELLNESS , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "714-478-0501"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102441",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "102441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Wellness Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forward Wellness, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eliza Jean Fletcher
• Alejandro Daniel Flores
• Emily Noemi Flores
• Jennifer Mae Ilagan Flores, PHARMD, RPH
• Jessica Fortanel
• Forward Wellness Family Therapy, Inc.
• Four Square Clinicals of California a Professional Nursing Corporation
• Anna Fox
• Arthur Read Francis, D.C.
• Francisco Javier Santacruz, D.D.S., Corp

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Placentia, CA
• Providers in Placentia, CA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.