Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELLNESS HYDRATION CENTER A MEDICAL CORPORATION
NPI 1811605173
Family Medicine in Fresno, CA

Active since November 07, 2022CLIA 05D2290654 · Waiver
3790 N 1ST ST, FRESNO, CA 93726(559) 890-6111(559) 892-0327 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Sep 4, 2026, Jan 6, 2023 and 2 more (5 updates tracked since 2022).

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

NPI1811605173
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLNESS HYDRATION CENTER A MEDICAL CORPORATION
Location Address3790 N 1ST STFresno, CA 93726-5601
Mailing Address3790 N 1st StFresno, CA 93726-5601 · (559) 890-6111 · Fax (559) 892-0327
Fax(559) 892-0327
Organization SubpartNo
Authorized OfficialYeu Melissa LoOffice Manager · (559) 890-6111
Enumeration DateNovember 7, 2022
Last NPPES UpdateSeptember 9, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1811605173 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.
3790 N 1ST ST, Fresno, CA 93726

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

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, CA
Active · expires Sep 27, 2027
CLIA Number05D2290654
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorTou Choua Vang
Laboratory Phone(559) 890-6111
Laboratory LocationWellness Hydration Center, A Medical Corporation3727 N 1st St, Ste 106, Fresno, CA 93726
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Urgent Care)
3790 N 1ST ST
FRESNO, CA 93726
General Practice
3790 N 1ST ST
FRESNO, CA 93726
Nurse Practitioner
3790 N 1ST ST
FRESNO, CA 93726
Specialist/Technologist (Speech-Language Assistant)
3790 N 1ST ST
FRESNO, CA 93726

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 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.

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 19 days 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.