WELLNESS HYDRATION CENTER A MEDICAL CORPORATION
NPI 1811605173
Family Medicine in Fresno, CA
About Wellness Hydration Center A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLNESS HYDRATION CENTER A MEDICAL CORPORATION (NPI 1811605173) is a healthcare organization registered as a family medicine in Fresno, California and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Yeu Melissa Lo, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Hydration Center A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wellness Hydration Center A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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
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 05D2290654
Wellness Hydration Center, A Medical Corporation · Fresno, CAFrequently 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 Hydration Center A Medical Corporation's NPI number?
The NPI number for Wellness Hydration Center A Medical Corporation is 1811605173. It was assigned to this organization in the NPPES registry on November 7, 2022.
Where is Wellness Hydration Center A Medical Corporation located?
Wellness Hydration Center A Medical Corporation is located at 3790 N 1st St, Fresno, CA 93726. The listed phone number is (559) 890-6111.
What is Wellness Hydration Center A Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wellness Hydration Center A Medical Corporation enrolled in Medicare?
Yes. Wellness Hydration Center A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellness Hydration Center A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wellness Hydration Center A Medical Corporation, in General 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 Wellness Hydration Center A Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2290654) is associated with this NPI, valid through September 27, 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 Wellness Hydration Center A Medical Corporation was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wellness Hydration Center A Medical Corporation · NPI 1811605173
Family Medicine organization in Fresno, California. Organization record, active in the CMS NPPES registry since November 7, 2022.
## Identity
- **NPI:** 1811605173 (Entity type: Organization)
- **Enumerated:** November 7, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Yeu Lo, OFFICE MANAGER
## Practice location
- **Address:** 3790 N 1ST ST, Fresno, CA 93726-5601
- **Phone:** (559) 890-6111 · **Fax:** (559) 892-0327
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811605173) · Data from the CMS NPPES public registry.