TRAVEL WELL CORPORATION (NPI# 1427575083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427575083 |
| Entity Type | Organization |
| Organization Name | TRAVEL WELL CORPORATION |
| Other Organization Name | PASSPORT HEALTH |
| Practice Address |
7901 Stoneridge Dr Suite 430 Pleasanton CA 94588-3654 |
| Mailing Address |
8324 E Hartford Drive Suite 200 Scottsdale AZ 85255-7801 |
| Practice Telephone | 8773588648 |
| Practice Fax Number | 8778776875 |
| Mailing Telephone | 8773588648 |
| Mailing Fax Number | 8778776875 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | MR. DOUG SHACKELL (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4806469024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Passport Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457886681 | Travel Well Corporation | Preventive Medicine | 47 Kearny Street, Suite 701, San Francisco, CA 94108-5572 | 2017-04-25 |
| 1285088534 | Travel Well Corporation | Preventive Medicine | 39239 Liberty St, Bldg D (d-4), Fremont, CA 94538-1501 | 2016-04-22 |
| 1912351263 | Travel Well Corporation | Preventive Medicine | 990 Fremont Ave W, Suite W, Sunnyvale, CA 94087-3065 | 2016-04-22 |
| 1912315573 | Travel Well Corporation | Preventive Medicine | 1777 Borel Place Suite 404, San Mateo, CA 94402 | 2014-07-28 |
| 1568870186 | Travel Well Corporation | Preventive Medicine | 3478 Buskirk Ave, Suite 1042, Pleasant Hill, CA 94523 | 2014-07-28 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| 1437564929 | Travel Well Corporation | Preventive Medicine | 333 Hegenberger Road, Suite 311, Oakland, CA 94621-1461 | 2014-06-24 |
| 1730594227 | Travel Well Corporation | Preventive Medicine | 1750 Montgomery St. 1st Floor, San Francisco, CA 94111 | 2014-06-24 |
| 1932634771 | Travel Well Corporation | Preventive Medicine | 3117 Geary Blvd, San Francisco, CA 94118-3316 | 2017-05-01 |
| 1528509064 | Travel Well Corporation | Preventive Medicine | 300 Harding Blvd, Ste 103, Roseville, CA 95678-2471 | 2017-03-16 |
| Street Address |
7901 STONERIDGE DR SUITE 430 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477607968 | Brent Hughey | Clinical Neuropsychologist | 7901 Stoneridge Dr, 521, Pleasanton, CA 94588-3677 | 2007-01-22 |
| 1285016998 | Tanya Kofoed Brosnan | Physician Assistant | 7901 Stoneridge Dr, Suite 230, Pleasanton, CA 94588-3677 | 2015-06-18 |
| 1215357561 | Comprehensive Pain Medical Center, Inc | Physical Medicine & Rehabilitation | 7901 Stoneridge Dr, 225, Pleasanton, CA 94588-3677 | 2014-04-24 |
| 1205136272 | Sharon Perlman Berry | Clinical Neuropsychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2010-10-25 |
| 1114258787 | Sara Marie Sanders | Psychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2010-01-21 |
| 1265761159 | Tina Ventura Glueck | Psychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2009-12-24 |
| 1700081825 | Hari D Murthy | Psychologist | 7901 Stoneridge Dr, Suite 521, Pleasanton, CA 94588-3677 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592126 | Best Healthcare Access | Preventive Medicine | 3218 E Holt Ave Ste 201a, West Covina, CA 91791-2310 | 2020-09-11 |
| 1134739642 | Wellcentrex LLC | Preventive Medicine | 4590 Macarthur Blvd Ste 500, Newport Beach, CA 92660-2028 | 2020-08-10 |
| 1548870926 | Sofia Lucha Robles Castillo | Preventive Medicine | 9616 Micron Ave Ste 670, Sacramento, CA 95827-2699 | 2020-07-31 |
| 1972124485 | Douglas L Hatch | Preventive Medicine | 680 Talbot Ave, Pacifica, CA 94044-2650 | 2020-05-06 |
| 1154959138 | Jaime Renee Reise | Preventive Medicine | 8358 Santa Monica Blvd, West Hollywood, CA 90069-4313 | 2020-03-27 |
| 1861024515 | Another Way 2 LLC | Preventive Medicine | 3840 Lemon St, Riverside, CA 92501-3693 | 2020-02-11 |
| 1275186793 | Thinknetic Medical Corporation | Preventive Medicine | 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 | 2019-07-23 |
| 1396306650 | Ankush Raj Gaur | Preventive Medicine | 21303 Oakriver Ln, Newhall, CA 91321-4679 | 2019-06-26 |
| 1982167565 | Kristina Deguzman | Preventive Medicine | 9616 Micron Ave Ste 970, Sacramento, CA 95827-2627 | 2019-04-10 |
| 1760940902 | Taby Corp. | Preventive Medicine | 73710 Alessandro Dr Ste A1, Palm Desert, CA 92260-3638 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.