Individual provider Active NPI

Floresita Puth, LE

  • Specialist
  • Fremont, CA
National Provider Identifier
1184565608
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L10124 Issued in CA
Practice address
2140 Peralta Blvd Ste 108
Fremont, CA 94536-3959
Phone
(341) 233-4851
NPI assigned
Apr 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L10124 CA Primary

Addresses

Primary practice location

2140 Peralta Blvd Ste 108
Fremont, CA 94536-3959

Mailing address

34159 Fremont Blvd # 2019
Fremont, CA 94555-2230
Phone (341) 233-4851

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
L10124CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nurtured Soul Wellness, LLC Specialist Current Accepting new patients

Locations

2140 Peralta Blvd
Ste 108
Fremont, CA 94536
Phone (341) 233-4851

34159 Fremont Blvd
Fremont, CA 94555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1184565608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34159 FREMONT BLVD # 2019",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552230",
            "telephone_number": "341-233-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PERALTA BLVD STE 108",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363959",
            "telephone_number": "341-233-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTH",
        "first_name": "FLORESITA",
        "credential": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L10124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.