Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Innovative Wellness Clinic, Inc., A Nursing Corporation

Family Medicine Physician in Spring Valley, CA · enumerated 2020 · authorized official Danielle Gordon, Primary Care Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316535776

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Registry record

Entity type Organization (Type 2)

Legal business name Innovative Wellness Clinic, Inc., A Nursing Corporation

Other name <Unavail>

Practice address 10225 Austin Dr, Ste 105, Spring Valley, CA, 91978

Phone (858) 648-0755

Fax (534) 429-4287

Enumeration date Dec 31, 2020

Last updated in NPPES Jan 31, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Danielle Gordon

Title Primary Care Provider

Phone (858) 648-0755

Other identifiers

Identifier	Type	State	Issuer
A49264	Other	CA	MEDICAL LICENSE
NP95010963	Other	CA	NURSE PRACTITIONER LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Innovative Wellness Clinic, Inc., A Nursing Corporation located?

The practice location on file with NPPES is in Spring Valley, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-01-31. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-31.