WONDERFUL CENTER FOR HEALTH INNOVATION INC (NPI# 1437756103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437756103 |
| Entity Type | Organization |
| Organization Name | WONDERFUL CENTER FOR HEALTH INNOVATION INC |
| Practice Address |
14848 Lamberson Ave Lost Hills CA 93249 |
| Mailing Address |
13646 Highway 33 Lost Hills CA 93249-9719 |
| Practice Telephone | 6617202660 |
| Practice Fax Number | 6617202661 |
| Mailing Telephone | 6617202660 |
| Mailing Fax Number | 6617202661 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | DR. LARRY WOLK (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6617202660 |
| Authorized Official Credential | MD MSPH |
| Is Organization Subpart | Y |
| Parent Organization Name | WONDERFUL CENTER FOR HEALTH INNOVATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wonderful School Health Center - Lost Hills | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1871043653 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2016-10-05 |
| 1750752804 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2015-10-15 |
| 1720454192 | Wonderful Center for Health Innovation Inc | Clinic/Center | 1701 S Lexington St, Delano, CA 93215-9200 | 2015-08-19 |
| Street Address |
14848 LAMBERSON AVE |
| City | LOST HILLS |
| State | CA |
| Zip Code | 93249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205241148 | Inga Wilder | Family Medicine | 21138 Paso Robles Hwy, Lost Hills, CA 93249 | 2014-06-30 |
| 1316144975 | Ludim Estuardo Vielman | Physician Assistant | 21138 Paso Robles Hwy, Lost Hills, CA 93249 | 2007-06-28 |
| 1952507600 | Clarissa Y De Castro | Dentist | 21138 Paso Robles Hwy, Lost Hills, CA 93249 | 2007-06-21 |
| 1376558221 | Omni Family Health | Clinic/Center | 21138 Paso Robles Hwy, Lost Hills, CA 93249-0306 | 2006-07-29 |
| 1649442088 | Omni Family Health | Clinical Medical Laboratory | 21138 Paso Robles Hwy, Lost Hills, CA 93249-0306 | 2008-03-26 |
| 1659590784 | Omni Family Health | Clinic/Center | 21138 Paso Robles Hwy, Lost Hills, CA 93249-0306 | 2007-04-25 |
| 1336337799 | Naomi Kamil Bjornstad | Physician Assistant | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2007-10-11 |
| 1922528397 | Lizbeth Orozco Jauregui | Physician Assistant | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2017-06-26 |
| 1871043653 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2016-10-05 |
| 1750752804 | Wonderful Center for Health Innovation Inc | Clinic/Center | 13646 Highway 33, Lost Hills, CA 93249-9719 | 2015-10-15 |
| Find all providers in zip 93249 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1386134815 | Ventura County Community College District | Clinic/Center | 4667 Telegraph Road, Ventura, CA 93003-3872 | 2018-05-10 |
| 1104339761 | Kern Community College District | Clinic/Center | 1801 Panorama Dr, Bakersfield, CA 93305-1219 | 2017-11-06 |
| 1104342393 | Yosemite Community College District | Clinic/Center | 11600 Columbia College Dr, Sonora, CA 95370-8560 | 2017-08-18 |
| 1750813663 | Yosemite Community College District | Clinic/Center | 435 College Ave, Modesto, CA 95350-5808 | 2017-03-30 |
| 1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
| 1083036495 | Nora Anderson | Clinic/Center | 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 | 2014-01-21 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
| 1184909947 | California Baptist University | Clinic/Center | 2900 Adams St Ste C10, Riverside, CA 92504-7915 | 2011-10-12 |
| Find all providers with the same taxonomy | ||||
| City | LOST HILLS |
| Zip Code | 93249 |
Please comment or provide details below to improve the information on WONDERFUL CENTER FOR HEALTH INNOVATION INC.
| 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.