Individual provider Active NPI

Stacey Leigh McLarry, ND

  • Naturopath
  • San Diego, CA
National Provider Identifier
1043852650
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND1098 Issued in CA
Practice address
1220 Rosecrans St Ste 257
San Diego, CA 92106-2674
Phone
(619) 807-6142
Fax
(866) 608-9676
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND1098 CA Primary

Addresses

Primary practice location

1220 Rosecrans St Ste 257
San Diego, CA 92106-2674

Mailing address

1220 Rosecrans St Ste 257
San Diego, CA 92106-2674
Phone (619) 807-6142

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

LicenseStateTypeSpecialty
ND1098CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1043852650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 ROSECRANS ST STE 257",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062674",
            "telephone_number": "619-807-6142",
            "fax_number": "866-608-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 ROSECRANS ST STE 257",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062674",
            "telephone_number": "619-807-6142",
            "fax_number": "866-608-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLARRY",
        "first_name": "STACEY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.