WELL MEDICAL, A PROFESSIONAL CORPORATION
NPI 1699123737
Nurse Practitioner in Santa Monica, CA

Q: What is Well Medical, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 31, 2016

929 COLORADO AVE, SANTA MONICA, CA 90401(424) 221-5012 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Well Medical, A Professional Corporation NPPES

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

WELL MEDICAL, A PROFESSIONAL CORPORATION (NPI 1699123737) is a healthcare organization registered as a nurse practitioner in Santa Monica, California and active in the NPI registry since May 2016. The organization lists Ildar Fazulyanov, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1699123737

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameWELL MEDICAL, A PROFESSIONAL CORPORATION

Location Address929 COLORADO AVESanta Monica, CA 90401-2716

Mailing Address2280 Sawtelle Blvd. # 101Los Angeles, CA 90064 · (310) 384-0970

Phone(424) 221-5012

Organization SubpartNo

Authorized OfficialIldar FazulyanovChief Operating Officer · (310) 384-0970

Enumeration DateMay 31, 2016

Last NPPES UpdateMarch 8, 2021

NPPES CertifiedMarch 8, 2021

✔ NPI 1699123737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPhysical TherapistTaxonomy 225100000X

929 COLORADO AVE, Santa Monica, CA 90401

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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Well Medical, A Professional Corporation's NPI number?

The NPI number for Well Medical, A Professional Corporation is 1699123737. It was assigned to this organization in the NPPES registry on May 31, 2016.

Where is Well Medical, A Professional Corporation located?

Well Medical, A Professional Corporation is located at 929 Colorado Ave, Santa Monica, CA 90401. The listed phone number is (424) 221-5012.

What is Well Medical, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Well Medical, A Professional Corporation was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.