Active NPI
Wellness and Bladder Health Center
- Family Nurse Practitioner
- Apple Valley, CA
National Provider Identifier
1972270031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WELLNESS AND BLADDER HEALTH CENTER
- Practice address
- 19015 Town Center Dr Ste 206
Apple Valley, CA 92308-8996 - Phone
- (760) 240-4729
- NPI assigned
- Aug 26, 2021
- 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
- Sandra Stewart
- Title
- Owner
- Phone
- (760) 508-6727
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
19015 Town Center Dr Ste 206
Apple Valley, CA 92308-8996
Mailing address
P.O. Box 17868
Hwy 18 PMB 359
Apple Valley, CA 92307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP6891 | Other | CA | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wewin77@hotmail.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Apple Valley, CA
- NPI 1871651307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1972270031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 17868",
"address_2": "HWY 18 PMB 359",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19015 TOWN CENTER DR STE 206",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923088996",
"telephone_number": "760-240-4729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS AND BLADDER HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-26",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-508-6727"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "NP6891",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wewin77@hotmail.com",
"affiliation": "N",
"address_1": "19015 Town Center Dr Ste 206",
"city": "Apple Valley",
"state": "CA",
"country_code": "US",
"postal_code": "923088996",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.