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

Address: 3111 Camino Del Rio N Ste 345, San Diego, CA 92108-5720

COMMUNITY WELLNESS AMERICA, INC (NPI# 1407432289) 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) 1407432289
Entity Type Organization
Organization Name COMMUNITY WELLNESS AMERICA, INC
Practice Address 3111 Camino Del Rio N Ste 345
San Diego
CA 92108-5720
Practice Telephone 8583673435
Practice Fax Number 6192299666
Mailing Address 5835 Honors Dr
San Diego
CA 92122-2255
Mailing Telephone 6195815900
Mailing Fax Number 6192299666
Certification Date 2021-03-22
Enumeration Date 2021-03-22
Last Update Date 2021-03-22
Authorized Official Telephone 8583673435
Authorized Official Credential LAC
Is Organization Subpart N

Taxonomy

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

Other Provider Identifiers

Identifier State Issuer Type Code
1285737569 CA MEDICAID
1073783346 CA MEDICAID

Office Location

Street Address 3111 CAMINO DEL RIO N STE 345
City SAN DIEGO
State CA
Zip Code 92108-5720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659957439 Corporate Wellness America, Inc Preventive Medicine - Public Health & General Preventive Medicine 3111 Camino Del Rio N Ste 345, San Diego, CA 92108-5720 2021-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659978328 La Tanya Wallace · La Tanya Wallace, Np Nurse Practitioner - Psych/Mental Health 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 2020-10-06
1326396540 Darlene Mae Layton Counselor 3111 Camino Del Rio N, Suite 467, San Diego, CA 92108-5720 2012-08-20
1538455571 Gordon D Heinrichs Chiropractor 3111 Camino Del Rio N, 1000, San Diego, CA 92108-5720 2011-06-28
1518123470 Natalie Smith Social Worker - Clinical 3111 Camino Del Rio N, San Diego, CA 92108-5720 2008-07-31
1568590420 Richard Gonzales Jimenez Specialist 3111 Camino Del Rio N, Suite 600, San Diego, CA 92108-5720 2007-03-01
1871633446 Maria A Rodriguez Psychologist - Clinical 3111 Camino Del Rio N, Ste 400, San Diego, CA 92108-5720 2007-02-06
1861538589 Leslie Ann Kleiman Marriage & Family Therapist 3111 Camino Del Rio N, Suite 400, San Diego, CA 92108-5720 2007-01-29
1467513218 Acn Group of California, Inc Health Maintenance Organization 3111 Camino Del Rio N, San Diego, CA 92108-5720 2006-12-13
1891885653 Michael Justin Bailey Psychiatry & Neurology - Psychiatry 3111 Camino Del Rio N, Suite 600, San Diego, CA 92108-5720 2006-10-13
1699876540 Marilyn Ruth Friesen Psychologist 3111 Camino Del Rio N, Ste 400, San Diego, CA 92108-5720 2006-09-25
Find all providers in zip 92108-5720

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1346831583 Marissa Lopez Behavior Technician 5333 Mission Center Road Ste 110, San Diego, CA 92108 2021-01-31
1952902801 Keri Castaneda Behavior Technician 025 Camino Del Rio South Suite 101, San Diego, CA 92108 2020-11-06
1457963738 Diyana Giorgees Case Manager/Care Coordinator 5005 Texas Street, St. 203, San Diego, CA 92108 2020-08-19
1780211896 Lori Mildred Jerman Marriage & Family Therapist Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 2020-03-26
1285260737 Demetrius Anderson Counselor - Mental Health Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 2020-03-17
1033742465 Dasc Medical Inc Durable Medical Equipment & Medical Supplies 5520 Gill Village Way, 907, San Diego, CA 92108 2020-02-13
1508401092 Chanda Denee Kizer Marriage & Family Therapist 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 2019-11-08
1225695562 Jenna Rose Shurer · Jenna Rose Titko Nurse Practitioner - Family 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 2019-05-22
1104483767 Angelica Marie Ortiz Chiropractor 2667 Camino Del Rio South, Suite 313, San Diego, CA 92108 2019-05-20
1053886135 Andrea Jiselly Munoz Behavior Technician 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 2018-10-04
Find all providers in zip 92108

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
1053909986 Community Wellness America Preventive Medicine - Public Health & General Preventive Medicine 4620 Alvarado Canyon Rd Ste 14, San Diego, CA 92120-4306 2021-01-06
1003251901 Christine A. Thorne Preventive Medicine - Public Health & General Preventive Medicine 330 Lewis St Ste 400, San Diego, CA 92103-2108 2013-05-06
1013221506 Christopher J Phillips Preventive Medicine - Public Health & General Preventive Medicine 700 W E St, Unit 1101, San Diego, CA 92101-5990 2010-07-27
1225349442 Patrick Eugene Olson Preventive Medicine - Public Health & General Preventive Medicine 10395 Barrywood Way, San Diego, CA 92131-2214 2010-06-23
1699906545 Debra Marzelle Carroll Preventive Medicine - Public Health & General Preventive Medicine 1313 Park Blvd Rm A-116, San Diego, CA 92101-4712 2009-07-27
1861515280 Daniel Zisook Preventive Medicine - Public Health & General Preventive Medicine 3634 Caminito Carmel Lndg, San Diego, CA 92130-2507 2007-04-09
1164573234 Amol Narendra Doshi Preventive Medicine - Public Health & General Preventive Medicine Sdsu Calpulli Ctr Health Svcs 5500 Campanile Dr, San Diego, CA 92182-0001 2007-01-16
1376694802 Wilma Jean Wooten Preventive Medicine - Public Health & General Preventive Medicine 1700 Pacific Hwy Ste 311, San Diego, CA 92101-2417 2007-01-12
1528037827 Sterling Scott Sherman Preventive Medicine - Public Health & General Preventive Medicine 5840 Pacific Haven Ct, San Diego, CA 92121-4347 2006-03-17
1508836222 James Milton Richards · James Milton Richards Preventive Medicine - Public Health & General Preventive Medicine 7575 Metropolitan Drive, Suite 104, San Diego, CA 92108 2006-01-25
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92108

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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.

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