MEDIWELL INC. NPI 1598845562

NPI Information

NPI: 1598845562
Provider Name: MEDIWELL, INC.
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: MEDIWELL MEDICAL GROUP
Address: 1733 CREEKSIDE DR
FOLSOM, CA
ZIP 95630
Phone: (916) 458-9355

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NPI Details

MEDIWELL, INC. is a primary care clinic center in Folsom, CA. MEDIWELL, INC. NPI is 1598845562. The provider is registered as an organization entity type.
The provider Is Doing Business As Mediwell Medical Group.

The provider's business location address is:

1733 CREEKSIDE DR
FOLSOM, CA
ZIP 95630-457
Phone: (916) 458-9355
Fax: (916) 458-9353

The provider's authorized official is Ravdeep Singh Bhasin .
The authorized official title is Ceo and has the following contact phone number (916) 458-9355.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 9/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A055920	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ28024Z	OTHER	CALIFORNIA	MEDICARE GROUP NUMBER
2	GR0095610	MEDICAID	CALIFORNIA
3	G64140	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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