NPIMap

Organization Active NPI

Elite Integrative Medicine & Wellness Center, Inc

Doing business as Elite Wellness of Carmel

  • Family Medicine Physician
  • Carmel, CA
National Provider Identifier
1871866483
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE INTEGRATIVE MEDICINE & WELLNESS CENTER, INC
Doing business as
Elite Wellness of Carmel
Practice address
26335 Carmel Rancho Blvd
Suite 1
Carmel, CA 93923-8876
Phone
(831) 625-6000
Fax
(831) 625-6001
NPI assigned
Feb 13, 2012
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Dr. Cheryl Denise Bryantbruce, MDNPI 1932132339
Title
Physician
Phone
(831) 625-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CA Primary

Addresses

Primary practice location

26335 Carmel Rancho Blvd
Suite 1
Carmel, CA 93923-8876

Mailing address

26335 Carmel Rancho Blvd
Suite 1
Carmel, CA 93923-8876
Phone (831) 625-6000

Other names 1

  • Elite Wellness of Carmel Doing business as

National Provider Directory

National Provider Directory

Locations

26335 Carmel Rancho Blvd
Ste 1
Carmel, CA 93923
Phone (831) 625-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1871866483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26335 CARMEL RANCHO BLVD",
            "address_2": "SUITE 1",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238876",
            "telephone_number": "831-625-6000",
            "fax_number": "831-625-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26335 CARMEL RANCHO BLVD",
            "address_2": "SUITE 1",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238876",
            "telephone_number": "831-625-6000",
            "fax_number": "831-625-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INTEGRATIVE MEDICINE & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "BRYANTBRUCE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "831-625-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Wellness of Carmel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.