Active NPI
Anna Feagan
- Naturopath
- La Jolla, CA
National Provider Identifier
1063983831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1029
- Practice address
- 5420 La Jolla Blvd Unit B104
La Jolla, CA 92037-7665 - Phone
- (440) 915-4906
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | ND1029 | CA | |
| Naturopath | 175F00000X | 1029 | CA | Primary |
Addresses
Primary practice location
5420 La Jolla Blvd Unit B104
La Jolla, CA 92037-7665
Mailing address
5420 La Jolla Blvd Unit B104
La Jolla, CA 92037-7665
Phone (144) 091-5490
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 |
|---|---|---|---|
| 1029 | CA | MD | Naturopath |
| ND1029 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1063983831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 LA JOLLA BLVD UNIT B104",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920377665",
"telephone_number": "144-091-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 LA JOLLA BLVD UNIT B104",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920377665",
"telephone_number": "440-915-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEAGAN",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1029",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "1029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.