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CAREATC - GLIDEWELLNESS CENTER
NPI 1487341517
Clinic/Center - Primary Care in Irvine, CA

Active since April 19, 2023CLIA 05D2286118 · Waiver
2166 MICHELSON DR, IRVINE, CA 92612(949) 660-5654(404) 494-7403 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Careatc - Glidewellness Center NPPES

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

CAREATC - GLIDEWELLNESS CENTER (NPI 1487341517) is a healthcare organization registered as a primary care in Irvine, California and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Kelly Bender, Director, Product & Data Management, as its authorized official.

NPPES Registry Identity

NPI1487341517
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCAREATC - GLIDEWELLNESS CENTER
Location Address2166 MICHELSON DRIrvine, CA 92612-1304
Mailing Address4500 S 129th East Ave Ste 191Tulsa, OK 74134-5891 · (800) 993-8244
Phone(949) 660-5654
Fax(404) 494-7403
Organization SubpartNo
Authorized OfficialKelly BenderDirector, Product & Data Management · (918) 779-7475
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1487341517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2166 MICHELSON DR, Irvine, CA 92612
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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 of Waiver 05D2286118

Careatc Glidewell Health Center · Irvine, CA
Active · expires Jul 23, 2027
CLIA Number05D2286118
Laboratory TypeHealth Center
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorShahrokh Poormehr
Laboratory Phone(918) 779-7471
Laboratory LocationCareatc Glidewell Health Center2166 Michelson Dr, Irvine, CA 92612
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA, A MEDICAL CORPORATION
Clinic/Center (Health Service)
2166 MICHELSON DR
IRVINE, CA 92612
Orange County (949) 660-5654
JAN REMCEE REDONDO CMT, CNMT
Massage Therapist
2166 MICHELSON DR
IRVINE, CA 92612
Orange County (949) 669-5654

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 Careatc - Glidewellness Center's NPI number?

The NPI number for Careatc - Glidewellness Center is 1487341517. It was assigned to this organization in the NPPES registry on April 19, 2023.

Where is Careatc - Glidewellness Center located?

Careatc - Glidewellness Center is located at 2166 Michelson Dr, Irvine, CA 92612. The listed phone number is (949) 660-5654.

What is Careatc - Glidewellness Center's specialty?

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

Does Careatc - Glidewellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2286118) is associated with this NPI, valid through July 23, 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 Careatc - Glidewellness Center was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.