IWC PRIMARY CARE
NPI 1316535776
Family Medicine in Spring Valley, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iwc Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Iwc Primary Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Innovative Wellness Clinic, Inc., A Nursing Corporation enrolled in Medicare?
Yes. Innovative Wellness Clinic, Inc., A Nursing Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Wellness Clinic, Inc., A Nursing Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Innovative Wellness Clinic, Inc., A Nursing Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Iwc Primary Care · NPI 1316535776
Family Medicine organization in Spring Valley, California. Organization record, active in the CMS NPPES registry since December 31, 2020.
## Identity
- **NPI:** 1316535776 (Entity type: Organization)
- **Enumerated:** December 31, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Innovative Wellness Clinic, Inc., A Nursing Corporation
- **Organization subpart:** No
- **Authorized official:** Danielle Gordon, PRIMARY CARE PROVIDER
## Practice location
- **Address:** 10225 AUSTIN DR, STE 105, Spring Valley, CA 91978-1521
- **Phone:** (858) 648-0755 · **Fax:** (534) 429-4287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
- **Other identifiers:** Other A49264 (CA); Other NP95010963 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316535776) · Data from the CMS NPPES public registry.