Abc Wellness Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ABC WELLNESS CENTER

Practice address

8529 Amestoy Ave
Sherwood Forest, CA 91325-3403

Phone

(424) 441-4441

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Edgar Mnatsakanyan

Title

Ceo

Phone

(424) 441-4441

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1962269662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8529 AMESTOY AVE",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913253403",
            "telephone_number": "424-441-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 AMESTOY AVE",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913253403",
            "telephone_number": "424-441-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-441-4441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Dream Villa, Inc.
• Aurora Raymer LLC
• Tatevik Balasanyan
• Buddyguard Corporation
• Dispatch NP, a Professional Nursing Corporation
• Irely Healthcare

• Substance Abuse Rehabilitation Facility in Sherwood Forest, CA
• Providers in Sherwood Forest, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.