Active NPI
Sangitapriya Pedro, N.D.
- Naturopath
- Mill Valley, CA
National Provider Identifier
1043653074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND1075
- Practice address
- 655 Redwood Hwy Frontage Rd
Mill Valley, CA 94941-3034 - Phone
- (415) 569-4470
- Fax
- (844) 787-4719
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1426 | OR | |
| Naturopath | 175F00000X | ND1075 | CA | Primary |
Addresses
Primary practice location
655 Redwood Hwy Frontage Rd
Mill Valley, CA 94941-3034
Mailing address
3439 NE Sandy Blvd # 359
Portland, OR 97232-1959
Phone (207) 274-2111
Other practice location 1
1623 SE 6th Ave
Portland, OR 97214-3502
Phone (207) 274-4211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1426 | OR | MD | Clinical Psychologist |
| ND1075 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726358400000",
"number": "1043653074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3439 NE SANDY BLVD # 359",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321959",
"telephone_number": "207-274-2111",
"fax_number": "207-221-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 REDWOOD HWY FRONTAGE RD",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413034",
"telephone_number": "415-569-4470",
"fax_number": "844-787-4719"
}
],
"practiceLocations": [
{
"address_1": "1623 SE 6th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972143502",
"country_code": "US",
"telephone_number": "207-274-4211",
"fax_number": "207-221-1095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDRO",
"first_name": "SANGITAPRIYA",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2024-09-15",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1426",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": "CA",
"license": "ND1075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.