Avery Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVERY HEALTHCARE

Practice address

230 Coral CT
Pismo Beach, CA 93449-2803

Phone

(908) 255-3076

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By 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

Mr. Lawrence B Owen

Title

President

Phone

(908) 255-3076

Specialties & licenses 1

Addresses

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.

• Mariana Dintyala, DNP, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1982973319
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1174074926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CORAL CT",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492803",
            "telephone_number": "908-255-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CORAL CT",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492803",
            "telephone_number": "908-255-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-255-3076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Domenick Barbo, LAC
• Charles Alden Barstow Jr., MPT,OCS, COMT, CSCS
• Jo Bcharvey, CRNA
• Lindsay May Beck, AMFT, APCC
• Meghan Kathryn Bell, PT, DPT

• Home Health Agency in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.