Center of Integrative Medicine Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A130426 Issued in CA

Legal business name

CENTER OF INTEGRATIVE MEDICINE CORP

Practice address

325 N Wiget LN
Ste 130
Walnut Creek, CA 94598-2435

Phone

(925) 935-5425

Fax

(925) 947-2671

NPI assigned

May 18, 2015

Last updated

Sep 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vinamra Jain, MD

Title

Owner

Phone

(925) 935-5425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1154709558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N WIGET LN",
            "address_2": "STE 130",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982435",
            "telephone_number": "925-935-5425",
            "fax_number": "925-947-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N WIGET LN",
            "address_2": "STE 130",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982435",
            "telephone_number": "925-935-5425",
            "fax_number": "925-947-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF INTEGRATIVE MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VINAMRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-935-5425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A130426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.