Individual provider Active NPI

Bianca Andrea Despotides, N.D.

  • Naturopath
  • San Jacinto, CA
National Provider Identifier
1124579909
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-911 Issued in CA
Practice address
1695 S San Jacinto Ave
San Jacinto, CA 92583-5103
Phone
(480) 381-3857
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-911 CA Primary
Naturopath 175F00000X 16-1594 AZ

Addresses

Primary practice location

1695 S San Jacinto Ave
San Jacinto, CA 92583-5103

Mailing address

259 N Kirby St
San Jacinto, CA 92582-3763
Phone (480) 381-3857

Other practice location 1

422 N San Jacinto St Ste B&c
Hemet, CA 92543-3124
Phone (480) 381-3857

Other practice location 2

8631 E Butte St
Mesa, AZ 85207-7737
Phone (480) 381-3857

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
16-1594AZMDNaturopath
ND-911CAMDNaturopath

Interoperability endpoints

  • Direct secure messaging: bianca.despotides@36318950653956.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1124579909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 N KIRBY ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823763",
            "telephone_number": "480-381-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "480-381-3857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 N San Jacinto St Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925433124",
            "country_code": "US",
            "telephone_number": "480-381-3857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8631 E Butte St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852077737",
            "country_code": "US",
            "telephone_number": "480-381-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPOTIDES",
        "first_name": "BIANCA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-911",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "16-1594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.