Premier Treatment and Health Mngmt

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER TREATMENT AND HEALTH MNGMT

Practice address

1230 Columbia St Ste 110
San Diego, CA 92101-8502

Phone

(619) 232-4030

Fax

(619) 232-4255

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tonny D Smith

Title

Office Manager

Phone

(619) 232-4030

Specialties & licenses 1

Addresses

Other names 1

• Elite Performance Center Doing business as

Locations

Practitioners 4

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

• David Paul Bourgouin, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1891808689
  NPD (past)
• Flora Hyacinth, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1609912369
  NPD (past)
• Jennifer Leigh Sobel, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1851451843
  NPD (past)
• Mike Scott Wasilisin, D.C.

  • Rehabilitation Chiropractor
  • San Diego, CA
  • NPI 1194956102
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851444145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 COLUMBIA ST STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018502",
            "telephone_number": "619-232-4030",
            "fax_number": "619-232-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 COLUMBIA ST STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018502",
            "telephone_number": "619-232-4030",
            "fax_number": "619-232-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER TREATMENT AND HEALTH MNGMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TONNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-232-4030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Performance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Healthcare Services, LLC
• Premier Neuroimaging Inc
• Premier Physician Services
• Premier Psychiatry Inc
• Premier Surgical Assistants, Inc.
• Premise Health of California Medical, P.C
• Premise Health of California Medical, P.C
• Premise Health of California Medical, P.C.
• Premium One Hospice, Inc.
• Sarah Premo

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist 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.