WELLNESS MOBILE CLINIC
NPI 1376378810
General Practice in Woodland Hills, CA

Active since September 04, 2024
21241 VENTURA BLVD STE 259, WOODLAND HILLS, CA 91364(323) 899-9450 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellness Mobile Clinic NPPES

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

WELLNESS MOBILE CLINIC (NPI 1376378810) is a healthcare organization registered as a general practice in Woodland Hills, California and active in the NPI registry since September 2024. The organization lists Angie Trias Sanchez, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1376378810
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWELLNESS MOBILE CLINIC
Location Address21241 VENTURA BLVD STE 259Woodland Hills, CA 91364-2186
Mailing Address25044 Peachland Ave Ste 110Santa Clarita, CA 91321-5730 · (844) 960-2673 · Fax (818) 356-4380
Organization SubpartNo
Authorized OfficialAngie Trias SanchezPresident & Ceo · (323) 899-9450
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1376378810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X
21241 VENTURA BLVD STE 259, Woodland Hills, CA 91364

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness Mobile Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wellness Mobile Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1205677523
20046 BETZ DR
Winnetka, CA 91306
(661) 916-5362
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1447916168
18954 TUBA ST
Northridge, CA 91324
(818) 681-1351
✔ PECOS✔ Accepts Medicare6.7 mi
Family Practice
NPI 1881170199
191 S BUENA VISTA ST STE 150
Burbank, CA 91505
(818) 295-5920
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wellness Mobile Clinic's NPI number?

The NPI number for Wellness Mobile Clinic is 1376378810. It was assigned to this organization in the NPPES registry on September 4, 2024.

Where is Wellness Mobile Clinic located?

Wellness Mobile Clinic is located at 21241 Ventura Blvd Ste 259, Woodland Hills, CA 91364. The listed phone number is (323) 899-9450.

What is Wellness Mobile Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wellness Mobile Clinic enrolled in Medicare?

Yes. Wellness Mobile Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Mobile Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wellness Mobile Clinic, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellness Mobile Clinic was last updated on September 4, 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.