Radiant Health Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28151 Issued in CA

Legal business name

RADIANT HEALTH INC

Practice address

6741 Sebastopol Ave
Suite 160
Sebastopol, CA 95472-3839

Phone

(707) 824-0340

Fax

(707) 861-3482

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Laura Aline Polak, DC

Title

Ceo/Chiropractor

Phone

(707) 824-0340

Specialties & licenses 1

Addresses

Other names 1

• Radiant Health Center Doing business as

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1184073504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SEBASTOPOL AVE",
            "address_2": "SUITE 160",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723839",
            "telephone_number": "707-824-0340",
            "fax_number": "707-861-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 SEBASTOPOL AVE",
            "address_2": "SUITE 160",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723839",
            "telephone_number": "707-824-0340",
            "fax_number": "707-861-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "POLAK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ALINE",
        "authorized_official_title_or_position": "CEO/CHIROPRACTOR",
        "authorized_official_telephone_number": "707-824-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie R Propach, DPT
• Karen Prosen, LMFT
• Meagan Judith Pugh, D.MIN., ATR-BC, SEP
• R. Mitchell Hiserote DO, Professional Corporation
• Maja Radevich
• Aram Rahimi, PHARMD
• Christine M Ramsay, P.A.-C
• Katherine Ramsey, LMFT
• Raquel Wells, a Licensed Clinical Social Worker Corporation
• Madeline Crosley Rasmuson, P.T.

• Chiropractor in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.