Organization Active NPI

Heart Wellness Clinic Inc.

  • Primary Care Clinic/Center
  • Claremont, CA
National Provider Identifier
1962921981
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
18731 Issued in CA
Legal business name
HEART WELLNESS CLINIC INC.
Practice address
112 Harvard Ave
Claremont, CA 91711-4716
Phone
(909) 757-6561
Fax
(909) 757-6562
NPI assigned
Sep 11, 2017
Last updated
Nov 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Mrs. Barbara Chinedu Amajoyi, FNPNPI 1568798189
Title
Ceo
Phone
(909) 644-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 18731 CA Primary

Addresses

Primary practice location

112 Harvard Ave
Claremont, CA 91711-4716

Mailing address

5050 Juneau CT
Rancho Cucamonga, CA 91739-2653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171019001162 CA Part B Supplier - Clinic/Group Practice 3870869829 Receives reassigned benefits from 2 practitioners
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

9333 Base Line Rd
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 757-6561

Practitioners & affiliated clinicians

Practitioners 3

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": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1962921981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 JUNEAU CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARVARD AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114716",
            "telephone_number": "909-757-6561",
            "fax_number": "909-757-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART WELLNESS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "AMAJOYI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "CHINEDU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-644-6444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "18731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.