Wellness Medical Group Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WELLNESS MEDICAL GROUP INC

Practice address

16661 Ventura Blvd Ste 707
Encino, CA 91436-4825

Phone

(310) 871-7410

NPI assigned

Dec 30, 2024

Organization subpart

No

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

Authorized official

Name

Katia Siri, DAOMNPI 1194249128

Title

President

Phone

(818) 625-2202

Specialties & licenses 1

Addresses

Other names 1

• WELLNESS MEDICAL GROUP INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Philip H Lee, D.O.

  • General Practice Physician
  • Burbank, CA
  • NPI 1992981161
  Medicare reassignment NPD
• Katia Siri

  • Acupuncturist
  • Encino, CA
  • NPI 1194249128
  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1962211441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 707",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364825",
            "telephone_number": "310-871-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 707",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364825",
            "telephone_number": "310-871-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "SIRI",
        "authorized_official_first_name": "KATIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-625-2202",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS MEDICAL GROUP INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Fredric E. Weiss, M.D.
• Sanford Jay Weitzbuch, DPM
• Sophia Ann Welch
• Francella Wellington
• Mark Wellisch, M.D.
• Wellness View Corp.
• Wells Chiropractic Corporation
• Ajani Jayden Wells
• David E. Wells, D.C., L.AC.
• Michael Wells, D.C., L.AC

• Acupuncturist in Encino, CA
• Providers in Encino, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.