Individual provider Active NPI

Kendall Perrine, ND

  • Naturopath
  • Dana Point, CA
National Provider Identifier
1164051157
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1149 Issued in CA
Practice address
32840 Pacific Coast Hwy
Dana Point, CA 92629-3468
Phone
(805) 270-5063
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Naturopath 175F00000X 1149 CA Primary

Addresses

Primary practice location

32840 Pacific Coast Hwy
Dana Point, CA 92629-3468

Mailing address

32840 Pacific Coast Hwy Ste a
Dana Point, CA 92629-3469
Phone (805) 270-5063

Other practice location 1

411 Traffic Way Ste E
Arroyo Grande, CA 93420-3362
Phone (805) 550-3527

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
1149CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1164051157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32840 PACIFIC COAST HWY STE A",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293469",
            "telephone_number": "805-270-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32840 PACIFIC COAST HWY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293468",
            "telephone_number": "805-270-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Traffic Way Ste E",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203362",
            "country_code": "US",
            "telephone_number": "805-550-3527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "KENDALL",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.