Active NPI
Healwell Management LLC
- Primary Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1952278905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Carlsbad, CA
- NPI 1184163206
-
- Family Nurse Practitioner
- San Diego, CA
- NPI 1659017465
-
- Family Nurse Practitioner
- Riverbank, CA
- NPI 1801771175
-
- Family Nurse Practitioner
- Stockton, CA
- NPI 1831913466
-
- Family Nurse Practitioner
- Stockton, CA
- NPI 1114320652
-
- Psychiatric/Mental Health Registered Nurse
- Fresno, CA
- NPI 1023797198
-
- Family Nurse Practitioner
- Sarasota, FL
- NPI 1639670383
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.