WFM Medical and Wellness Centers, Inc.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

46401 Issued in CA

Legal business name

WFM MEDICAL AND WELLNESS CENTERS, INC.

Practice address

800 S Central Ave
Suite 203
Glendale, CA 91204-4370

Phone

(818) 844-2300

NPI assigned

Dec 17, 2015

Last updated

Dec 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betsy Foster

Title

Vice President

Phone

(512) 542-0420

Specialties & licenses 2

Addresses

Locations

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.

• Vince Patrick Cacho, MD

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1477759371
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1942665906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BOWIE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "SUITE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044370",
            "telephone_number": "818-844-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WFM MEDICAL AND WELLNESS CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-542-0420"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "46401",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "7672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.