Well Medical, A Professional Corporation
NPI 1699123737ActiveOrganization· Nurse Practitioner· Santa Monica, CA
Nurse Practitioner in Santa Monica, California, registered in NPPES in May 2016. The authorized official on file is Ildar Fazulyanov, Chief Operating Officer.
Overview
| NPI | 1699123737 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2016 |
| Last updated in NPPES | Mar 8, 2021 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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