Organization Active NPI

Madrona Naturopathic Healthcare, Inc

  • Primary Care Clinic/Center
  • Brentwood, CA
National Provider Identifier
1265723217
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
225 Issued in CA
Legal business name
MADRONA NATUROPATHIC HEALTHCARE, INC
Practice address
2221 Balfour Rd
Ste D
Brentwood, CA 94513-4932
Phone
(651) 233-0608
Fax
(925) 634-4091
NPI assigned
Apr 26, 2011
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Margaret Mary Stahler, N.D., R.D.
Title
Owner
Phone
(651) 233-0608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1008 MN
Primary Care Clinic/Center 261QP2300X 225 CA Primary

Addresses

Primary practice location

2221 Balfour Rd
Ste D
Brentwood, CA 94513-4932

Mailing address

161 Chestnut St # 6
Brentwood, CA 94513-1302
Phone (651) 233-0608

National Provider Directory

National Provider Directory

Locations

161 Chestnut St
#6
Brentwood, CA 94513

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1265723217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CHESTNUT ST # 6",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131302",
            "telephone_number": "651-233-0608",
            "fax_number": "925-634-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 BALFOUR RD",
            "address_2": "STE D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134932",
            "telephone_number": "651-233-0608",
            "fax_number": "925-634-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONA NATUROPATHIC HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "STAHLER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-233-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D., R.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "1008",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.