Innovative Wellness Clinic, Inc., a Nursing Corporation
NPI 1316535776 · Family Medicine Physician · Spring Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Wellness Clinic, Inc., a Nursing Corporation is a Family Medicine Physician organization in Spring Valley, CA (NPI 1316535776).
Provider details
- NPI number
- 1316535776
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Danielle Gordon, Primary Care Provider(858) 648-0755
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Iwc Primary Care
Registry dates
- Enumerated
- 2020-12-31
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Frequently asked questions
- What is Innovative Wellness Clinic, Inc., a Nursing Corporation's NPI number?
- Innovative Wellness Clinic, Inc., a Nursing Corporation's National Provider Identifier (NPI) is 1316535776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Wellness Clinic, Inc., a Nursing Corporation?
- Innovative Wellness Clinic, Inc., a Nursing Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Wellness Clinic, Inc., a Nursing Corporation located?
- Innovative Wellness Clinic, Inc., a Nursing Corporation's practice location on file with NPPES is 10225 Austin Dr, Spring Valley, CA 91978-1521.
- What is Innovative Wellness Clinic, Inc., a Nursing Corporation's phone number?
- The practice phone number listed in the NPPES registry for Innovative Wellness Clinic, Inc., a Nursing Corporation is (858) 648-0755.
- Does Innovative Wellness Clinic, Inc., a Nursing Corporation accept Medicare?
- Innovative Wellness Clinic, Inc., a Nursing Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Wellness Clinic, Inc., a Nursing Corporation?
- The authorized official listed on Innovative Wellness Clinic, Inc., a Nursing Corporation's NPPES record is Danielle Gordon, Primary Care Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Wellness Clinic, Inc., a Nursing Corporation's NPI active?
- Yes — Innovative Wellness Clinic, Inc., a Nursing Corporation's NPI (1316535776) is active in the NPPES registry as of the last update on 2024-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.