GNOSIS GERIATRIC WELLCARE CENTER INC
NPI 1962145029
Family Medicine in Garden Grove, CA
About Gnosis Geriatric Wellcare Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GNOSIS GERIATRIC WELLCARE CENTER INC (NPI 1962145029) is a healthcare organization registered as a family medicine in Garden Grove, California and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Gerardo Canchola, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
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 05D2287078
Gnosis Geriatric Wellcare Center Inc · Garden Grove, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gnosis Geriatric Wellcare Center Inc's NPI number?
The NPI number for Gnosis Geriatric Wellcare Center Inc is 1962145029. It was assigned to this organization in the NPPES registry on April 18, 2022.
Where is Gnosis Geriatric Wellcare Center Inc located?
Gnosis Geriatric Wellcare Center Inc is located at 12555 Garden Grove Blvd Ste 304, Garden Grove, CA 92843. The listed phone number is (714) 353-5333.
What is Gnosis Geriatric Wellcare Center Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Gnosis Geriatric Wellcare Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2287078) is associated with this NPI, valid through August 7, 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 Gnosis Geriatric Wellcare Center Inc was last updated on April 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gnosis Geriatric Wellcare Center Inc · NPI 1962145029
Family Medicine organization in Garden Grove, California. Organization record, active in the CMS NPPES registry since April 18, 2022.
## Identity
- **NPI:** 1962145029 (Entity type: Organization)
- **Enumerated:** April 18, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Gerardo Canchola, MEDICAL DIRECTOR
## Practice location
- **Address:** 12555 GARDEN GROVE BLVD STE 304, Garden Grove, CA 92843-1903
- **Phone:** (714) 353-5333
## Record status
- **NPPES last updated:** April 16, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962145029) · Data from the CMS NPPES public registry.