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WELLHAVEN PRIMARY CARE
NPI 1306463542
Clinic/Center - Primary Care in San Diego, CA

Active since July 04, 2020
5555 RESERVOIR DR STE 303, SAN DIEGO, CA 92120(619) 752-2280 Get Directions Write a Review

NPPES record last updated: July 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellhaven Primary Care NPPES

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

WELLHAVEN PRIMARY CARE (NPI 1306463542), doing business as Wellhaven Primary Care Llc, is a healthcare organization registered as a primary care in San Diego, California and active in the NPI registry since July 2020. The organization lists Jillion T Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1306463542
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWELLHAVEN PRIMARY CARE
Location Address5555 RESERVOIR DR STE 303San Diego, CA 92120-5181
Mailing Address5663 Balboa Ave # 517San Diego, CA 92111-2705
Phone(619) 752-2280
Organization SubpartNo
Authorized OfficialJillion T HarrisOwner · (619) 752-2280
Enumeration DateJuly 4, 2020
NPPES CertifiedJuly 4, 2020
✔ NPI 1306463542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5555 RESERVOIR DR STE 303, San Diego, CA 92120
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Other Names 1

Former Legal Business NameWellhaven Primary Care Llc

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 Wellhaven Primary Care's NPI number?

The NPI number for Wellhaven Primary Care is 1306463542. It was assigned to this organization in the NPPES registry on July 4, 2020. The provider was formerly known as Wellhaven Primary Care LLC.

Where is Wellhaven Primary Care located?

Wellhaven Primary Care is located at 5555 Reservoir Dr Ste 303, San Diego, CA 92120. The listed phone number is (619) 752-2280.

What is Wellhaven Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wellhaven Primary Care was last updated on July 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.