WONDERFUL WELLNESS CENTER - LOST HILLS
NPI 1750752804
Clinic/Center - Primary Care in Lost Hills, CA

NPI Status: Active since October 15, 2015

Contact Information

13646 HIGHWAY 33
LOST HILLS, CA
ZIP 93249
Phone: (661) 797-6606
Fax: (661) 797-6667

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 05D2286718
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 08-01-2025

About WONDERFUL WELLNESS CENTER - LOST HILLS

This page provides the complete NPI Profile along with additional information for Wonderful Wellness Center - Lost Hills, a primary care provider established in Lost Hills, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1750752804 assigned on October 2015. The practitioner's primary taxonomy code is 261QP2300X with license number C140498 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Wonderful Wellness Center - Lost Hills. The authorized official of this NPI record is Dr. Larry Wolk Md Msph (Chief Medical Officer)

NPI
1750752804
Provider Legal Name
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Other Organization Name
WONDERFUL WELLNESS CENTER - LOST HILLS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13646 HIGHWAY 33 LOST HILLS, CA 93249
Location Phone
(661) 797-6606
Location Fax
(661) 797-6667
Mailing Address
13646 HIGHWAY 33 LOST HILLS, CA 93249
Mailing Phone
(661) 797-6606
Mailing Fax
(661) 797-6667
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-15-2015
Last Update Date
09-03-2019
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A primary care provider (PCP) like Wonderful Wellness Center - Lost Hills sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
C140498
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LARRY WOLK MD MSPH

Authorized Official Title
CHIEF MEDICAL OFFICER
Authorized Official Phone
(661) 720-2660

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2286718
Facility Type
School/Student Health Service
Certificate Effective Date
August 02, 2023
Certificate Expiration Date
August 01, 2025
Laboratory Director
LAWRENCE WOLK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wonderful Wellness Center - Lost Hills to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WONDERFUL WELLNESS CENTER - LOST HILLS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750752804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100145480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 5 + 4 + 8 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1750752804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801231238DR. RAYMOND TSAI MD
Individual
Family Medicine13646 HIGHWAY 33
LOST HILLS, CA 93249
(661) 797-6607
1871043653WONDERFUL CENTER FOR HEALTH INNOVATION INC
Organization
Clinic/Center (Primary Care)13646 HIGHWAY 33
LOST HILLS, CA 93249
(661) 797-6607
1336337799MRS. NAOMI KAMIL BJORNSTAD PA-C
Individual
Physician Assistant13646 HIGHWAY 33
LOST HILLS, CA 93249
(661) 797-6691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750752804, enumerated in the NPI registry as an "organization" on October 15, 2015

The provider is located at 13646 Highway 33 Lost Hills, Ca 93249 and the phone number is (661) 797-6606

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 05D2286718 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 15, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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