Clear Waters Health and Wellness of Sacramento PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLEAR WATERS HEALTH AND WELLNESS OF SACRAMENTO PC

Practice address

8950 Cal Center Dr
Suite 165
Sacramento, CA 95826-3259

Phone

(732) 982-2674

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Ian Johnson

Title

Owner

Phone

(732) 982-2674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1154777670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 CAL CENTER DR",
            "address_2": "SUITE 165",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263259",
            "telephone_number": "732-982-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATERS HEALTH AND WELLNESS OF SACRAMENTO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-982-2674"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richelle Renee Clayton, CERTIFIED DOULA
• Tarianna Alice Clayton
• Theresa Clayton, FNP
• Clean Comfort Transtional House LLC
• Clear Path Care Solutions, LLC
• Julia Clearman, PSY.D.
• Emma Cleary, APRN
• Karen Elise Cleary, FNP
• Paige Cleek, CGC
• Mary Clegg, MD

• Health Service Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.