Aeris Mobile Wellness LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

AERIS MOBILE WELLNESS LLC

Practice address

15060 Victory Blvd Unit 204
Van Nuys, CA 91411-1829

Phone

(805) 552-6753

NPI assigned

Jun 25, 2025

Organization subpart

No

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

Authorized official

Name

Elena Gonzalez, CPT 1

Title

Owner

Phone

(818) 919-1666

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1740178953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 VAN NUYS BLVD # 659",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012710",
            "telephone_number": "805-552-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15060 VICTORY BLVD UNIT 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111829",
            "telephone_number": "805-552-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIS MOBILE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-919-1666",
        "authorized_official_credential": "CPT 1"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ae Urgent Care - Van Nuys
• Pavel Afanasyev
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• Afshin Doostan,DDS,Inc. (Golden Care Dentistry)
• After Care, Inc.
• Ag Hospice & Palliative Care Inc

• Medical Specialty Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.