Healthcare Provider Details

I. General information

NPI: 1720284920
Provider Name (Legal Business Name): WE CARE OSTEOPATHIC WELLNESS CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 S VAL VISTA DR SUITE 138 BLDG 7
GILBERT AZ
85296-6675
US

IV. Provider business mailing address

2730 S VAL VISTA DR SUITE 138 BLDG 7
GILBERT AZ
85296-6675
US

V. Phone/Fax

Practice location:
  • Phone: 480-686-9686
  • Fax: 480-686-9508
Mailing address:
  • Phone: 480-686-9686
  • Fax: 480-686-9508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number3119
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3119
License Number StateAZ

VIII. Authorized Official

Name: DR. JORDAN S ROSS
Title or Position: RENDERING PROVIDER
Credential: D.O.
Phone: 480-686-9686