Jacquelin J Vaithianathan

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

35QVDW6C Issued in CA

Practice address

124 Lomas Santa Fe Dr Ste 206
Solana Beach, CA 92075-1252

Phone

(858) 228-4188

NPI assigned

Aug 27, 2025

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andory Integrated Health and Consulting PC

  dba Spark Health Integrative Medicine

  • Primary Care Clinic/Center
  • Solana Beach, CA
  • NPI 1366044745
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1023997897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LOMAS SANTA FE DR STE 206",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751252",
            "telephone_number": "858-228-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LOMAS SANTA FE DR STE 206",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751252",
            "telephone_number": "858-228-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITHIANATHAN",
        "first_name": "JACQUELIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "35QVDW6C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uptown New York Style Inc (Cranial Prosthesis Uptown New York Style)
• David F. Urich, DDS
• Ilan Urman
• Jim Utic
• Aimee Michelle Vadnais, MFT
• Azita Vakili, DMD
• Gianna Marie Valentino, FNP-C
• Nikko J Vanderburg, DDS
• Jasmine Viernes, PT, DPT
• Svetlana A Voloshin, ND

• Phlebotomy Technician in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.