Active NPI
Petra Davelaar, ND
- Naturopath
- Los Angeles, CA
National Provider Identifier
1225588288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND831
- Practice address
- 375 Homewood Rd
Los Angeles, CA 90049-2711 - Phone
- (424) 500-5006
- Fax
- (844) 908-2227
- NPI assigned
- Oct 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | TBA | CA | |
| Naturopath | 175F00000X | ND831 | CA | Primary |
Addresses
Primary practice location
375 Homewood Rd
Los Angeles, CA 90049-2711
Mailing address
375 Homewood Rd
Los Angeles, CA 90049-2711
Phone (424) 500-5006
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@drpetrad.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TBA | CA | MD | Addiction (Substance Use Disorder) Counselor |
| ND831 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1225588288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 HOMEWOOD RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492711",
"telephone_number": "424-500-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 HOMEWOOD RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492711",
"telephone_number": "424-500-5006",
"fax_number": "844-908-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVELAAR",
"first_name": "PETRA",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "TBA",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND831",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@drpetrad.com",
"affiliation": "N",
"endpointDescription": "private email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "375 Homewood Rd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900492711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.