Active NPI
Michael David Woodworth, LAC
- Homeopath
- Oceanside, CA
National Provider Identifier
1154497832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homeopath
- License
- AC10818
- Practice address
- 2530 H Vista Way
Oceanside, CA 92054 - Phone
- (760) 435-9390
- Fax
- (760) 435-9393
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Homeopath | 175L00000X | AC10818 | CA | Primary |
Addresses
Primary practice location
2530 H Vista Way
Oceanside, CA 92054
Mailing address
2530 H Vista Way
Oceanside, CA 92054
Phone (760) 435-9390
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007357745 | Other | CA | AETNA |
| 671144 | Other | CA | CONNECTICARE |
| CA0108180 | Other | BLUE SHIELD |
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 |
|---|---|---|---|
| AC10818 | CA | MD | Homeopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154497832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 H VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92054",
"telephone_number": "760-435-9390",
"fax_number": "760-435-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 H VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92054",
"telephone_number": "760-435-9390",
"fax_number": "760-435-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWORTH",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "CA",
"license": "AC10818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007357745",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "671144",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "CA0108180",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.