Organization Active NPI

Peaceful Promise, Inc

  • Multi-Specialty Clinic/Center
  • Vista, CA
National Provider Identifier
1194392357
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PEACEFUL PROMISE, INC
Practice address
440 S. Melrose Drive
Suite 205
Vista, CA 92081-9208
Phone
(858) 888-3811
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Dr. Jason Desadier, DONPI 1952508848
Title
Ceo
Phone
(707) 334-6089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

440 S. Melrose Drive
Suite 205
Vista, CA 92081-9208

Mailing address

1444 Belmont Park Rd
Oceanside, CA 92057-5727
Phone (858) 382-3328

Other names 1

  • Peaceful Promise Doing business as

National Provider Directory

National Provider Directory

Locations

440 S Melrose Dr
Ste 205
Vista, CA 92081
Phone (858) 888-3811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1194392357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 BELMONT PARK RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575727",
            "telephone_number": "858-382-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S. MELROSE DRIVE",
            "address_2": "SUITE 205",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920819208",
            "telephone_number": "858-888-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PROMISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "DESADIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-334-6089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Promise",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peaceful Promise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.