TRANSFORMATION HEALTH & WELLNESS NPI 1003420381

Obstetrics & Gynecology (Gynecology) in Anaheim, CA

NPI 1003420381 Organization Obstetrics & Gynecology Gynecology CLIA Number 05D2203373 CLIA Certificate of Waiver

About TRANSFORMATION HEALTH & WELLNESS

Transformation Health & Wellness is a women's health care provider established in Anaheim, California specializing in obstetrics & gynecology (gynecology) . The NPI number of Transformation Health & Wellness is 1003420381 and was assigned on September 2020. The practitioner's primary taxonomy code is 207VG0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Transformation Health & Wellness operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jacquelyn Diane Cortez Do (President)

Women's health care providers like Transformation Health & Wellness treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

The CLIA number of Transformation Health & Wellness is 05D2203373 registered as a "physician office" facility with a CLIA Certificate of Waiver. 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.

NPI

1003420381

Provider NameTRANSFORMATION HEALTH & WELLNESS
Provider Location Address6200 E CANYON RIM RD STE 105B ANAHEIM, CA 92807
Provider Mailing Address6200 E CANYON RIM RD STE 105B ANAHEIM, CA 92807
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-03-2020
Last Update Date09-03-2020


Primary Taxonomy

Taxonomy Code207VG0400X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationGynecology

Business Address

TRANSFORMATION HEALTH & WELLNESS
6200 E CANYON RIM RD STE 105B
ANAHEIM, CA
ZIP 92807
Phone: (714) 900-3091
Fax: (714) 386-5147

Get Directions


Mailing Address

TRANSFORMATION HEALTH & WELLNESS
6200 E CANYON RIM RD STE 105B
ANAHEIM, CA
ZIP 92807
Phone: (714) 900-3091
Fax: (714) 386-5147



Authorized Official

Authorized Official NameDR. JACQUELYN DIANE CORTEZ DO
Authorized Official TitlePRESIDENT
Authorized Official Phone(714) 900-3091

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 the NPI number 1003420381 is:

CLIA Number05D2203373
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1982732236OTHER (01)CA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982732236DR. JACQUELYN DIANE CORTEZ D.O.
Individual
Obstetrics & Gynecology6200 E CANYON RIM RD STE 105B
ANAHEIM, CA 92807
(714) 900-3091

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.