Organization Active NPI

Wishwell LLC

  • Health & Wellness Coach
  • Chula Vista, CA
National Provider Identifier
1972285369
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
WISHWELL LLC
Practice address
2060 Otay Lakes Rd Ste 240
Chula Vista, CA 91913-1364
Phone
(619) 890-1602
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Mrs. Verenice Hernandez-Herrera, M.ED, PPS,
Title
Chief Executive Officer
Phone
(619) 890-1602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

2060 Otay Lakes Rd Ste 240
Chula Vista, CA 91913-1364

Mailing address

2060 Otay Lakes Rd Ste 240
Chula Vista, CA 91913-1364
Phone (619) 890-1602

Other names 2

  • WishWell Counseling & Empowerment Center Other name
  • Wishwell LLC Other name

National Provider Directory

National Provider Directory

Locations

2060 Otay Lakes Rd
Ste 240
Chula Vista, CA 91913
Phone (619) 890-1602

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1972285369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 OTAY LAKES RD STE 240",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131364",
            "telephone_number": "619-890-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 OTAY LAKES RD STE 240",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131364",
            "telephone_number": "619-890-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISHWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-HERRERA",
        "authorized_official_first_name": "VERENICE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-890-1602",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, PPS,"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WishWell Counseling & Empowerment Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wishwell LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.