Organization Active NPI

Healthy Medical Wellness, Inc.

  • Clinic/Center
  • Riverside, CA
National Provider Identifier
1982303079
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTHY MEDICAL WELLNESS, INC.
Practice address
4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113
Phone
(626) 208-9377
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Brandy Liu, DONPI 1093150559
Title
Physician
Phone
(626) 208-9377

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113

Mailing address

5120 Hamner Ave
Ste 140 #568
Eastvale, CA 91752
Phone (626) 208-9377

Other names 1

  • Healthy Medical Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5120 Hamner Ave
Ste 140
Eastvale, CA 91752

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1982303079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 HAMNER AVE",
            "address_2": "STE 140 #568",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "91752",
            "telephone_number": "626-208-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057113",
            "telephone_number": "626-208-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MEDICAL WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-208-9377",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Medical Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.