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IWC PRIMARY CARE
NPI 1316535776
Family Medicine in Spring Valley, CA

Active since December 31, 2020CLIA 05D2216014 · Microscopy
10225 AUSTIN DR, STE 105, SPRING VALLEY, CA 91978(858) 648-0755(534) 429-4287 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Iwc Primary Care NPPES

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

IWC PRIMARY CARE (NPI 1316535776) is a healthcare organization registered as a family medicine in Spring Valley, California and active in the NPI registry since December 2020. The organization holds a CLIA Microscopy certificate valid through March 8, 2027 and lists Danielle Alexis Gordon, Primary Care Provider, as its authorized official.

NPPES Registry Identity

NPI1316535776
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVATIVE WELLNESS CLINIC, INC., A NURSING CORPORATION
Location Address10225 AUSTIN DR, STE 105Spring Valley, CA 91978-1521
Mailing Address750 Otay Lakes Rd # 111Chula Vista, CA 91910-6915
Phone(858) 648-0755
Fax(534) 429-4287
Organization SubpartNo
Authorized OfficialDanielle Alexis GordonPrimary Care Provider · (858) 648-0755
Enumeration DateDecember 31, 2020
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1316535776 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.
10225 AUSTIN DR, Spring Valley, CA 91978
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Other Names 1

Doing Business AsIwc Primary Care

Other Identifiers 2

OtherA49264CA · Medical License
OtherNP95010963CA · Nurse Practitioner License Number

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2216014

Iwc Primary Care · Spring Valley, CA
Active · expires Mar 8, 2027
CLIA Number05D2216014
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorSuzanne E. Afflalo
Laboratory Phone(858) 648-0755
Laboratory LocationIwc Primary Care10225 Austin Dr Ste 105, Spring Valley, CA 91978
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMG
Family Medicine
10225 AUSTIN DR, STE #103
SPRING VALLEY, CA 91978
San Diego County (619) 660-6719
MARY THERESE DEASON PT
Physical Therapist
10225 AUSTIN DR, SUITE 106
SPRING VALLEY, CA 91978
San Diego County (619) 660-8895
ROBERT S. LIPETZ D.O.
Family Medicine
10225 AUSTIN DR, SUITE 203
SPRING VALLEY, CA 91978
San Diego County (619) 660-9068
MERILEE R SUMMERFIELD PA
Family Medicine
10225 AUSTIN DR, STE #101
SPRING VALLEY, CA 91978
San Diego County (619) 660-6003
JULIANNA KATA NIKOLIC B.S., LSN
Nutritionist
10225 AUSTIN DR, STE 105
SPRING VALLEY, CA 91978
San Diego County (619) 670-8028
WALK WITH ME INC.
Clinic/Center (Magnetic Resonance Imaging (MRI))
10225 AUSTIN DR
SPRING VALLEY, CA 91978
San Diego County (619) 201-1624
HANID AUDISH DO
Family Medicine
10225 AUSTIN DR, SUITE 101
SPRING VALLEY, CA 91978
San Diego County (619) 660-6003
EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Physical Therapist
10225 AUSTIN DR, #204
SPRING VALLEY, CA 91978
San Diego County (619) 670-4567

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 Innovative Wellness Clinic, Inc., A Nursing Corporation's NPI number?

The NPI number for Innovative Wellness Clinic, Inc., A Nursing Corporation is 1316535776. It was assigned to this organization in the NPPES registry on December 31, 2020. The provider is doing business as Iwc Primary Care.

Where is Innovative Wellness Clinic, Inc., A Nursing Corporation located?

Innovative Wellness Clinic, Inc., A Nursing Corporation is located at 10225 Austin Dr Ste 105, Spring Valley, CA 91978. The listed phone number is (858) 648-0755.

What is Innovative Wellness Clinic, Inc., A Nursing Corporation's specialty?

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

Does Innovative Wellness Clinic, Inc., A Nursing Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2216014) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative Wellness Clinic, Inc., A Nursing Corporation was last updated on January 31, 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.