HEALTH AND WELLNESS CENTER, INC.
NPI 1386802940
Family Medicine in Lake Forest, CA

Q: What is Health And Wellness Center, Inc.'s NPI number?

The NPI number for Health And Wellness Center, Inc. is 1386802940. It was assigned to this organization in the NPPES registry on May 29, 2008.

Q: What is Health And Wellness Center, Inc.'s specialty?

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

Active since May 29, 2008CLIA Certified · 2 labs

23672 BIRTCHER RD., UNIT A, LAKE FOREST, CA 92630(949) 770-7301(949) 770-0634 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2020, Mar 17, 2018, Dec 20, 2017 (3 updates tracked since 2017).

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About Health And Wellness Center, Inc. NPPES

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

HEALTH AND WELLNESS CENTER, INC. (NPI 1386802940) is a healthcare organization registered as a family medicine in Lake Forest, California and active in the NPI registry since May 2008. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in San Clemente, and lists Mohammed Mahmood Ali, Provider, as its authorized official.

NPPES Registry Identity

NPI1386802940

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHEALTH AND WELLNESS CENTER, INC.

Location Address23672 BIRTCHER RD., UNIT ALake Forest, CA 92630-1711

Mailing Address23672 Birtcher Rd.,, Unit ALake Forest, CA 92630-1711 · (949) 770-7301 · Fax (949) 770-0634

Phone(949) 770-7301

Fax(949) 770-0634

Organization SubpartNo

Authorized OfficialMohammed Mahmood AliProvider · (949) 770-7301

Enumeration DateMay 29, 2008

Last NPPES UpdateMarch 6, 20203 updates tracked since enumeration

NPPES CertifiedMarch 6, 2020

✔ NPI 1386802940 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.

23672 BIRTCHER RD., Lake Forest, CA 92630

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Secondary Practice Location 1

Location 1665 Camino De Los Mares Ste 20San Clemente, CA 92673-2859 · Phone (949) 492-4622 · Fax (949) 492-4634

Other Identifiers 1

Medicaid00A836880CA

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)

Health And Wellness Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Health And Wellness Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mohammed Ali, M.D.

Family Practice

NPI 1053405506

23672 BIRTCHER DR UNIT A
Lake Forest, CA 92630

(949) 770-7301

✔ PECOS✔ Accepts MedicareSame address

Lesa Taylor, FNP-C

Nurse Practitioner

NPI 1730896333

665 CAMINO DE LOS MARES STE 203A
San Clemente, CA 92673

(949) 493-9344

✔ PECOS13 mi

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 2

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 05D2057674

Health And Wellness Center Inc · Lake Forest, CA

Active · expires Apr 21, 2027

CLIA Number05D2057674

Laboratory TypePhysician Office

Certificate Effective DateApril 22, 2025

Certificate Expiration DateApril 21, 2027

Laboratory DirectorAli M. Mohammed

Laboratory Phone(949) 770-7301

Laboratory LocationHealth And Wellness Center Inc23672 Birtcher Dr Unit A, Lake Forest, CA 92630

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2016782

Health And Wellness Center Inc · San Clemente, CA

Active · expires Feb 7, 2028

CLIA Number05D2016782

Laboratory TypePhysician Office

Certificate Effective DateFebruary 8, 2026

Certificate Expiration DateFebruary 7, 2028

Laboratory DirectorMohammed Ali

Laboratory Phone(949) 493-9344

Laboratory LocationHealth And Wellness Center Inc655 Camino De Los Mares Ste 203, San Clemente, CA 92673

CLIA data matches this NPI record on: Name

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 Health And Wellness Center, Inc.'s NPI number?

The NPI number for Health And Wellness Center, Inc. is 1386802940. It was assigned to this organization in the NPPES registry on May 29, 2008.

Where is Health And Wellness Center, Inc. located?

Health And Wellness Center, Inc. is located at 23672 Birtcher Rd. Unit A, Lake Forest, CA 92630. The listed phone number is (949) 770-7301.

What is Health And Wellness Center, Inc.'s specialty?

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

Is Health And Wellness Center, Inc. enrolled in Medicare?

Yes. Health And Wellness Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health And Wellness Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Health And Wellness Center, Inc., 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Health And Wellness Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Health And Wellness Center, Inc. was last updated on March 6, 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.