Innovative Wellness Clinic, Inc., A Nursing Corporation
NPI 1316535776ActiveOrganization· Family Medicine· Spring Valley, CA
Family Medicine in Spring Valley, California, registered in NPPES in December 2020. The authorized official on file is Danielle Alexis Gordon, Primary Care Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316535776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2020 |
| Last updated in NPPES | Jan 31, 2024 |
| Certified by provider | Jan 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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