Optimum Wellness and Longevity Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C52627 Issued in CA

Legal business name

OPTIMUM WELLNESS AND LONGEVITY INC

Practice address

1315 Corona Pointe CT
Suite 101
Corona, CA 92879-1764

Phone

(951) 279-5300

Fax

(951) 279-4300

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Robert T Rocco, MDNPI 1982826236

Title

Ceo

Phone

(951) 279-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert Thomas Rocco, MD

  • Family Medicine Physician
  • Claremont, CA
  • NPI 1982826236
  NPD (past) Authorized official
• Gowri Reddy Rocco, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1083894075
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1982983458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CORONA POINTE CT",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791764",
            "telephone_number": "951-279-5300",
            "fax_number": "951-279-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 CORONA POINTE CT",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791764",
            "telephone_number": "951-279-5300",
            "fax_number": "951-279-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM WELLNESS AND LONGEVITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-279-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Arceo Onandia, D.C.
• Michael Alexander Ontiveros, LVN
• Afonne Comfort Onwuka
• Jesse Ooten
• Optimum Breathing Therapy Inc
• Option One Home Medical Equipment, Inc
• Optique Optometry, a Professional Corporation
• Opus Medical
• Orange Psychiatric Medical Group, Inc
• Miguel Angel Oregel

• Family Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.