West Coast Wellness LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WEST COAST WELLNESS LLC

Practice address

22 Bushwood Cir
Ladera Ranch, CA 92694-0513

Phone

(214) 868-4371

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Rick Michel, NP

Title

Ceo

Phone

(214) 868-4371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Liliana Lopez Sandoval, FNP-C

  • Family Nurse Practitioner
  • Ontario, CA
  • NPI 1184211526
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1932644259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BUSHWOOD CIR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940513",
            "telephone_number": "214-868-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BUSHWOOD CIR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940513",
            "telephone_number": "214-868-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-868-4371",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Van Valkenburg, OTR/L, CHT
• Vigliarolo, D.D.S. Dental Corp
• Mitchell Joseph Wainwright, M.D.
• Stephanie Ann Watson
• Clyde Wesp Jr., M.D.
• Jacinda Wilcox, PHARMD
• Williams & Cole Personal Injury Chiropractic, Apc
• Leann Arleen Williams, MD
• Nicholas Williams
• Brittney Winn

• Nurse Practitioner in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.