Organization Active NPI

Well Care Community Clinic

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1841691508
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53639 Issued in CA
Legal business name
WELL CARE COMMUNITY CLINIC
Practice address
2613 1/2 Worden St
San Diego, CA 92110-5893
Phone
(691) 230-5240
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Mr. Hayk Harutyunyan
Title
Ceo
Phone
(619) 230-5240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A53639 CA Primary

Addresses

Primary practice location

2613 1/2 Worden St
San Diego, CA 92110-5893

Mailing address

2613 1/2 Worden St
San Diego, CA 92110-5893
Phone (691) 230-5240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1841691508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 1/2 WORDEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105893",
            "telephone_number": "691-230-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 1/2 WORDEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105893",
            "telephone_number": "691-230-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-230-5240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.