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: July 19, 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 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
05D2203373
Facility Type
Physician Office
Certificate Effective Date
December 03, 2024
Certificate Expiration Date
December 02, 2026
Laboratory Director
JACQUELINE SAMMONS DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Transformation Health & Wellness 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 TRANSFORMATION HEALTH & WELLNESS

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1003420381, enumerated as an "organization" on September 03, 2020.

The provider is located at 6200 E CANYON RIM RD STE 105B ANAHEIM, CA 92807 and the phone number is (714) 900-3091.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.