Organization Active NPI

The Wells Comprehensive Care System & Clinics, Inc.

  • Specialist
  • San Gabriel, CA
National Provider Identifier
1891135562
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE WELLS COMPREHENSIVE CARE SYSTEM & CLINICS, INC.
Practice address
207 S Santa Anita Ave Ste G18
San Gabriel, CA 91776-1147
Phone
(626) 427-1490
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Jesse J. Chuang
Title
Cfo
Phone
(626) 427-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

207 S Santa Anita Ave Ste G18
San Gabriel, CA 91776-1147

Mailing address

PO Box 989
Alhambra, CA 91802-0989

Other names 1

  • Wells CCS Clinics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1891135562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918020989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA AVE STE G18",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761147",
            "telephone_number": "626-427-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLS COMPREHENSIVE CARE SYSTEM & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-427-1490",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells CCS Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.