Todd A Maderis, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND279 Issued in CA

Practice address

700 Larkspur Landing Cir Ste 205
Larkspur, CA 94939-1711

Phone

(415) 945-3213

Fax

(415) 329-5080

NPI assigned

Apr 3, 2008

Sex

Male

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

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1053584680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LARKSPUR LANDING CIR STE 205",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391711",
            "telephone_number": "415-945-3213",
            "fax_number": "415-329-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LARKSPUR LANDING CIR STE 205",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391711",
            "telephone_number": "415-945-3213",
            "fax_number": "415-329-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERIS",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Low, DO
• Landy Lum, M.S.P.T.
• Cecelia Elva Luna
• Elaine Luu, FNP, CNS, RN
• Daniel Luis Lyons
• Kimberly Hoagland Madsen, RD
• Jan Ellen Maisel, MD PHD
• Pankaj Malhotra, M.D.
• Arundathi Shenoy Malladi, M.D.
• Katherine Manning, P.T.

• Naturopath in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.