NPIMap

Organization Active NPI

Blossoming Health

  • Community Health Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1124788369
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
BLOSSOMING HEALTH
Practice address
830 Stewart Dr # 140
Sunnyvale, CA 94085-4513
Phone
(650) 554-0753
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Dr. Aliaa Aldine, LAC, DAOMNPI 1750882254
Title
Owner
Phone
(650) 554-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

830 Stewart Dr # 140
Sunnyvale, CA 94085-4513

Mailing address

101 W Weddell Dr Apt 241
Sunnyvale, CA 94089-1580

National Provider Directory

National Provider Directory

Locations

830 Stewart Dr
#140
Sunnyvale, CA 94085
Phone (408) 607-3566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1124788369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W WEDDELL DR APT 241",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940891580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 STEWART DR # 140",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854513",
            "telephone_number": "650-554-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ALDINE",
        "authorized_official_first_name": "ALIAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-554-0753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, DAOM"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.