Active NPI
Blaire Jarvie Maliwat, ND, LAC, RDN
- Naturopath
- Costa Mesa, CA
National Provider Identifier
1124558697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND893
- Practice address
- 1831 Orange Ave Ste E
Costa Mesa, CA 92627-2839 - Phone
- (949) 646-4325
- NPI assigned
- Jun 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND893 | CA | Primary |
Addresses
Primary practice location
1831 Orange Ave Ste E
Costa Mesa, CA 92627-2839
Mailing address
3296 Spectrum
Irvine, CA 92618-3372
Phone (708) 829-4387
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 |
|---|---|---|---|
| ND893 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Acupuncture & Natural Health Center | Naturopath | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1124558697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3296 SPECTRUM",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183372",
"telephone_number": "708-829-4387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 ORANGE AVE STE E",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272839",
"telephone_number": "949-646-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIWAT",
"first_name": "BLAIRE",
"middle_name": "JARVIE",
"name_prefix": "Dr.",
"credential": "ND, LAC, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.