WELLNESS WIZARD MEDICAL GROUP INC
NPI 1649080136
Internal Medicine in Burbank, CA

Q: What is Wellness Wizard Medical Group Inc's NPI number?

The NPI number for Wellness Wizard Medical Group Inc is 1649080136. It was assigned to this organization in the NPPES registry on January 8, 2025.

Q: What is Wellness Wizard Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 08, 2025

4318 W VICTORY BLVD, BURBANK, CA 91505(818) 275-7554 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Wellness Wizard Medical Group Inc NPPES

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

WELLNESS WIZARD MEDICAL GROUP INC (NPI 1649080136) is a healthcare organization registered as an internal medicine in Burbank, California and active in the NPI registry since January 2025. The organization lists Eric Xiaofeng Lu, President, as its authorized official.

NPPES Registry Identity

NPI1649080136

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWELLNESS WIZARD MEDICAL GROUP INC

Location Address4318 W VICTORY BLVDBurbank, CA 91505-1334

Mailing Address4318 W Victory BlvdBurbank, CA 91505-1334 · (818) 275-7554

Phone(818) 275-7554

Organization SubpartNo

Authorized OfficialEric Xiaofeng LuPresident · (415) 960-5393

Enumeration DateJanuary 8, 2025

NPPES CertifiedJanuary 8, 2025

✔ NPI 1649080136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4318 W VICTORY BLVD, Burbank, CA 91505

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Wizard Medical Group 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 Wellness Wizard Medical Group 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)

Eric Lu, MD

Internal Medicine

NPI 1003311960

4318 W VICTORY BLVD
Burbank, CA 91505

(818) 275-7554

✔ PECOS✔ Accepts MedicareSame address

Kenyatt Davis, NP

Nurse Practitioner

NPI 1083506471

1100 S ALVARADO ST
Los Angeles, CA 90006

(847) 235-6130

✔ PECOS✔ Accepts Medicare10 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 Wizard Medical Group Inc's NPI number?

The NPI number for Wellness Wizard Medical Group Inc is 1649080136. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Wellness Wizard Medical Group Inc located?

Wellness Wizard Medical Group Inc is located at 4318 W Victory Blvd, Burbank, CA 91505. The listed phone number is (818) 275-7554.

What is Wellness Wizard Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wellness Wizard Medical Group Inc enrolled in Medicare?

Yes. Wellness Wizard Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Wizard Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wellness Wizard Medical Group Inc, in Internal Medicine 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.

When was this NPI record last updated?

The NPPES record for Wellness Wizard Medical Group Inc was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.