Healthcare Provider Details

I. General information

NPI: 1356264154
Provider Name (Legal Business Name): HOPEWELL HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CALLOWAY DR STE 400
BAKERSFIELD CA
93312-2513
US

IV. Provider business mailing address

2346 S TAPESTRY WAY
ANAHEIM CA
92802-4449
US

V. Phone/Fax

Practice location:
  • Phone: 800-218-2119
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHRUTI SHAH
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC
Phone: 734-560-3365