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TD & SJC WELLNESS SERVICES LLC
NPI 1124873013
Clinic/Center - Adult Mental Health in Fountain Valley, CA

Active since April 23, 2024CLIA 05D2337829 · Waiver
17150 NEWHOPE ST STE 208, FOUNTAIN VALLEY, CA 92708(253) 686-2854 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2024, Apr 23, 2024 (2 updates tracked since 2024).

About Td & Sjc Wellness Services Llc NPPES

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

TD & SJC WELLNESS SERVICES LLC (NPI 1124873013) is a healthcare organization registered as an adult mental health in Fountain Valley, California and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Stephen Carmel, Owner, as its authorized official.

NPPES Registry Identity

NPI1124873013
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTD & SJC WELLNESS SERVICES LLC
Location Address17150 NEWHOPE ST STE 208Fountain Valley, CA 92708-4250
Mailing Address17150 Newhope St Ste 208Fountain Valley, CA 92708-4250 · (253) 686-2854
Phone(253) 686-2854
Organization SubpartNo
Authorized OfficialStephen CarmelOwner · (253) 686-2854
Enumeration DateApril 23, 2024
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1124873013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
17150 NEWHOPE ST STE 208, Fountain Valley, CA 92708
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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 05D2337829

Td And Sjc Wellness Services · Fountain Valley, CA
Active · expires Jan 29, 2028
CLIA Number05D2337829
Laboratory TypeSubstance Abuse Outpatien
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorMichael C. Valdez
Laboratory Phone(253) 686-2854
Laboratory LocationTd And Sjc Wellness Services17150 Newhope St Suite 208, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Address 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 Td & Sjc Wellness Services LLC's NPI number?

The NPI number for Td & Sjc Wellness Services LLC is 1124873013. It was assigned to this organization in the NPPES registry on April 23, 2024.

Where is Td & Sjc Wellness Services LLC located?

Td & Sjc Wellness Services LLC is located at 17150 Newhope St Ste 208, Fountain Valley, CA 92708. The listed phone number is (253) 686-2854.

What is Td & Sjc Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Td & Sjc Wellness Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2337829) is associated with this NPI, valid through January 29, 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 Td & Sjc Wellness Services LLC was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.