The Wellness Institute

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

THE WELLNESS INSTITUTE

Practice address

3252 Holiday CT Ste 211
La Jolla, CA 92037-0027

Phone

(844) 384-2476

Fax

(844) 384-2476

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Will Alvarez

Title

Credentialing Coordinator

Phone

(844) 384-2476

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1760202873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 256",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423098",
            "telephone_number": "844-384-2476",
            "fax_number": "844-384-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 211",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370027",
            "telephone_number": "844-384-2476",
            "fax_number": "844-384-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5565 Grossmont Center Dr Ste 256",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423098",
            "country_code": "US",
            "telephone_number": "844-384-2476",
            "fax_number": "844-384-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "844-384-2476"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Teskey
• Nikita Shivani Thareja, MD
• The California Institute for Aesthetic Medicine
• The Cognitive Therapy Institute, a Psychological Corporation (The Cognitive Therapy Institute of San Diego)
• The Physical Therapy Clinic at la Jolla, PC
• Sushrut Sujan Thiruvengadam, M.D.
• Thomas H Lange DDS Fagd PC
• Thomas H. Gibson, PH.D. a Psychological Corporation
• Jeffrey Paul Thomas, LCSW
• Karin Elizabeth Thomas, MD

• Medical Physician Assistant in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.