PMD WELLNESS CENTER INC.
NPI 1104485887
Family Medicine in Long Beach, CA

Active since June 06, 2019CLIA 05D2181028 · Waiver
PMD WELLNESS CENTER INC, 1187 E. ANAHEIM ST., LONG BEACH, CA 90813(562) 599-2119(562) 218-7062 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2020, Jun 6, 2019 (2 updates tracked since 2019).

About Pmd Wellness Center Inc. NPPES

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

PMD WELLNESS CENTER INC. (NPI 1104485887) is a healthcare organization registered as a family medicine in Long Beach, California and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Isaias Paja, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104485887
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePMD WELLNESS CENTER INC.
Location AddressPMD WELLNESS CENTER INC, 1187 E. ANAHEIM ST.Long Beach, CA 90813-3663
Mailing AddressPmd Wellness Center Inc, 1187 E. Anaheim St.Long Beach, CA 90813-3663 · (562) 599-2119 · Fax (562) 218-7062
Fax(562) 218-7062
Organization SubpartNo
Authorized OfficialIsaias PajaMedical Director · (562) 599-2119
Enumeration DateJune 6, 2019
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
NPI 1104485887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PMD WELLNESS CENTER INC, Long Beach, CA 90813

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D2181028

Pmd Wellness Center Inc · Long Beach, CA
Active · expires Mar 24, 2028
CLIA Number05D2181028
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorIsaias Paja
Laboratory Phone(562) 599-2119
Laboratory LocationPmd Wellness Center Inc1187 East Anaheim Street, Long Beach, CA 90813
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pmd Wellness Center Inc.'s NPI number?

The NPI number for Pmd Wellness Center Inc. is 1104485887. It was assigned to this organization in the NPPES registry on June 6, 2019.

Where is Pmd Wellness Center Inc. located?

Pmd Wellness Center Inc. is located at Pmd Wellness Center Inc 1187 E. Anaheim St., Long Beach, CA 90813. The listed phone number is (562) 599-2119.

What is Pmd Wellness Center Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pmd Wellness Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2181028) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pmd Wellness Center Inc. was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.