Santa Clara Wellness Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C31903 Issued in CA

Legal business name

SANTA CLARA WELLNESS CENTER

Doing business as

Nine Star Wellness Center

Practice address

2179 Tully Rd
San Jose, CA 95122-1346

Phone

(408) 258-8050

Fax

(408) 258-2269

NPI assigned

Dec 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. George E. Wettach, M.D.

Title

President

Phone

(408) 258-8050

Specialties & licenses 1

Addresses

Other names 1

• Nine Star Wellness Center Doing business as

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1740519727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221346",
            "telephone_number": "408-258-8050",
            "fax_number": "408-258-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221346",
            "telephone_number": "408-258-8050",
            "fax_number": "408-258-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "WETTACH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-258-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C31903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nine Star Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Ctr
• Santa Clara Valley Physical Therapy
• Santa Clear Department of Mental Health
• Luz Maria Santacruz
• Paulo Santamaria Garcia
• Christopher Santamaria
• Flora Otilia Santamaria

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.