Organization Active NPI

Healwell Management LLC

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1952278905
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALWELL MANAGEMENT LLC
Practice address
640 S San Vicente Blvd Ste 442
Los Angeles, CA 90048-4654
Phone
(747) 230-9878
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Thulasi Kiran Kamasani
Title
Ceo
Phone
(312) 909-4578

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

640 S San Vicente Blvd Ste 442
Los Angeles, CA 90048-4654

Mailing address

640 S San Vicente Blvd Ste 442
Los Angeles, CA 90048-4654
Phone (747) 230-9878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513004162 CA Part B Supplier - Clinic/Group Practice 6103395686 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

640 S San Vicente Blvd
Ste 442
Los Angeles, CA 90048
Phone (747) 230-9878

Practitioners & affiliated clinicians

Practitioners 8

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1952278905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484654",
            "telephone_number": "747-230-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484654",
            "telephone_number": "747-230-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALWELL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "KAMASANI",
        "authorized_official_first_name": "THULASI KIRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-909-4578"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.