COMMUNITY WELLNESS AMERICA
Preventive Medicine (Public Health & General Preventive Medicine)

Address: 4620 Alvarado Canyon Rd Ste 14, San Diego, CA 92120-4306

COMMUNITY WELLNESS AMERICA (NPI# 1053909986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053909986
Entity Type Organization
Organization Name COMMUNITY WELLNESS AMERICA
Practice Address 4620 Alvarado Canyon Rd Ste 14
San Diego
CA 92120-4306
Practice Telephone 6192299666
Practice Fax Number 6192999666
Mailing Address 5835 Honors Dr
San Diego
CA 92122-2255
Mailing Telephone 6195815900
Mailing Fax Number 6192299666
Certification Date 2021-01-25
Enumeration Date 2021-01-06
Last Update Date 2021-01-25
Authorized Official Telephone 6195815900
Authorized Official Credential LAC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 12303712 12303712 Other

Office Location

Street Address 4620 ALVARADO CANYON RD STE 14
City SAN DIEGO
State CA
Zip Code 92120-4306

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center · Corporate Health 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs · Comfort Keepers In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavior Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. · Blue Mountain Dentistry Clinic/Center · Dental 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding · Ken Samith Vorn Nurse Practitioner · Family 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-Ellis · Debra Michele Stern Social Worker · Clinical 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist · General Practice 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1912332529 Keri Elizabeth Duncan Counselor 3430 Mission Mesa Way, San Diego, CA 92120 2013-09-13
Find all providers in zip 92120

Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003251901 Christine A. Thorne 330 Lewis St Ste 400, San Diego, CA 92103-2108 2013-05-06
1922363183 Samuel Park 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106-6127 2012-07-12
1013221506 Christopher J Phillips 700 W E St, Unit 1101, San Diego, CA 92101-5990 2010-07-27
1225349442 Patrick Eugene Olson 10395 Barrywood Way, San Diego, CA 92131-2214 2010-06-23
1699906545 Debra Marzelle Carroll 1313 Park Blvd Rm A-116, San Diego, CA 92101-4712 2009-07-27
1861515280 Daniel Zisook 3634 Caminito Carmel Lndg, San Diego, CA 92130-2507 2007-04-09
1164573234 Amol Narendra Doshi Sdsu Calpulli Ctr Health Svcs 5500 Campanile Dr, San Diego, CA 92182-0001 2007-01-16
1376694802 Wilma Jean Wooten 1700 Pacific Hwy Ste 311, San Diego, CA 92101-2417 2007-01-12
1487716411 Thomas Ross Coleman 3851 Rosecrans St Ste 522, Ms P511h, San Diego, CA 92110-3115 2006-12-15
1528037827 Sterling Scott Sherman 5840 Pacific Haven Ct, San Diego, CA 92121-4347 2006-03-17
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

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.