Anaheim Hills Wellness Center, a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7048 Issued in CA

Legal business name

ANAHEIM HILLS WELLNESS CENTER, A MEDICAL CORPORATION

Practice address

500 S Anaheim Hills Rd
Suite 246
Anaheim Hills, CA 92807-4780

Phone

(714) 221-2340

Fax

(714) 221-2299

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Sue Illions Berry, D.O.NPI 1568449783

Title

President

Phone

(714) 221-2340

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Mary Sue Illions Berry, D.O.

  • Family Medicine Physician
  • Anaheim Hills, CA
  • NPI 1568449783
  NPD (past) Authorized official
• Jason Christopher Berry, D.O.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1598742710
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750368874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 246",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-221-2340",
            "fax_number": "714-221-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 246",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-221-2340",
            "fax_number": "714-221-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM HILLS WELLNESS CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUE ILLIONS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-221-2340",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "20A7048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Mirai Dental Corporation (Anaheim Hills Dentistry)
• Aero Mobility, Inc.
• Anaheim Hills Medical Group, a Medical Corporation
• Anaheim Hills Medical Imaging, Inc.
• Ando & Aston Physical Therapy, Inc.
• Beavans Medical, Inc.
• Marc Becker, PH.D.
• Michael Max Belda, DDS
• Mary Sue Illions Berry, D.O.

• Family Medicine Physician in Anaheim Hills, CA
• Providers in Anaheim Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.