PISMO WELLNESS INC., A PROFESSIONAL MEDICAL CORPORATION
NPI 1841765674
Clinic/Center in Beverly Hills, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

Active since October 08, 2018

8500 WILSHIRE BLVD, SUITE 103, BEVERLY HILLS, CA 90211(424) 307-9504 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 14, 2022, Feb 9, 2022, Oct 8, 2018 (3 updates tracked since 2018).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Secondary Locations
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center

About PISMO WELLNESS INC., A PROFESSIONAL MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Pismo Wellness Inc., A Professional Medical Corporation, a provider established in Beverly Hills, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1841765674 assigned on October 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pismo Wellness Inc., A Professional Medical Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Jessie Martori (Manager)

NPI: 1841765674 Verify this NPI
Provider Name: PISMO WELLNESS INC., A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Location Address: 8500 WILSHIRE BLVD SUITE 103 BEVERLY HILLS, CA 90211
Location Phone: (424) 307-9504
Mailing Address: 8500 WILSHIRE BLVD SUITE 103 BEVERLY HILLS, CA 90211
Mailing Phone: (424) 307-9504
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-08-2018
Last Update Date: 02-14-2022
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Location Map

Secondary Locations

391 Front St Ste F
Grover Beach, CA 93433
(805) 219-6634

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Psychiatry
2	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center Mental Health (Including Community Mental Health Center)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MS. JESSIE MARTORI
Authorized Official Title: MANAGER
Authorized Official Phone: (602) 920-4290