Organization Active NPI

Bodywise Acupuncture & Total Wellness

  • Medical Specialty Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1083042311
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
AC15584 Issued in CA
Legal business name
BODYWISE ACUPUNCTURE & TOTAL WELLNESS
Practice address
885 Canarios CT
Ste. 110
Chula Vista, CA 91910-7877
Phone
(619) 656-5102
Fax
(619) 656-5143
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Ms. Georgia Good, L.AC., DIPL. OM
Title
President
Phone
(619) 210-5153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AC15584 CA Primary

Addresses

Primary practice location

885 Canarios CT
Ste. 110
Chula Vista, CA 91910-7877

Mailing address

885 Canarios CT
Ste. 110
Chula Vista, CA 91910-7877
Phone (619) 656-5102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1083042311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "STE. 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "STE. 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-656-5102",
            "fax_number": "619-656-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWISE ACUPUNCTURE & TOTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-210-5153",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC., DIPL. OM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "AC15584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.