TRANSFORMATION HEALTH & WELLNESS
NPI 1003420381
Obstetrics & Gynecology - Gynecology in Anaheim, CA

Active since September 03, 2020CLIA 05D2203373 · Waiver
6200 E CANYON RIM RD STE 105B, ANAHEIM, CA 92807(714) 900-3091(714) 386-5147 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Transformation Health & Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATION HEALTH & WELLNESS (NPI 1003420381) is a healthcare organization registered as a gynecology in Anaheim, California and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Jacquelyn Diane Cortez, President, as its authorized official.

NPPES Registry Identity

NPI1003420381
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameTRANSFORMATION HEALTH & WELLNESS
Location Address6200 E CANYON RIM RD STE 105BAnaheim, CA 92807-4313
Mailing Address6200 E Canyon Rim Rd Ste 105bAnaheim, CA 92807-4313 · (714) 900-3091 · Fax (714) 386-5147
Fax(714) 386-5147
Organization SubpartNo
Authorized OfficialJacquelyn Diane CortezPresident · (714) 900-3091
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 2, 2020
NPI 1003420381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6200 E CANYON RIM RD STE 105B, Anaheim, CA 92807

Other Names 1

Doing Business AsTransformation Health & Wellness

Other Identifiers 1

Other1982732236CA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2203373

Transformation Health & Wellness · Anaheim, CA
Active · expires Dec 2, 2026
CLIA Number05D2203373
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorJacqueline Sammons Do
Laboratory Phone(714) 900-3091
Laboratory LocationTransformation Health & Wellness6200 Canyon Rim Rd 105 B, Anaheim, CA 92807
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
6200 E CANYON RIM RD STE 105B
ANAHEIM, CA 92807
Obstetrics & Gynecology
6200 E CANYON RIM RD STE 105B
ANAHEIM, CA 92807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Transformation Health & Wellness's NPI number?

The NPI number for Transformation Health & Wellness is 1003420381. It was assigned to this organization in the NPPES registry on September 3, 2020.

Where is Transformation Health & Wellness located?

Transformation Health & Wellness is located at 6200 E Canyon Rim Rd Ste 105B, Anaheim, CA 92807. The listed phone number is (714) 900-3091.

What is Transformation Health & Wellness's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Transformation Health & Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2203373) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Transformation Health & Wellness was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.