Individual provider Active NPI

Michael Robert Stanclift, N.D.

  • Naturopath
  • Carlsbad, CA
National Provider Identifier
1285061432
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-491 Issued in CA
Practice address
620 Grand Ave
Suite C D
Carlsbad, CA 92008-2363
Phone
(760) 547-7573
Fax
(760) 248-4812
NPI assigned
Oct 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-491 CA Primary

Addresses

Primary practice location

620 Grand Ave
Suite C D
Carlsbad, CA 92008-2363

Mailing address

620 Grand Ave
Suite C D
Carlsbad, CA 92008-2363
Phone (760) 547-7573

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
491CAMDMental Health Counselor
ND-491CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1285061432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GRAND AVE",
            "address_2": "SUITE C D",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082363",
            "telephone_number": "760-547-7573",
            "fax_number": "760-248-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GRAND AVE",
            "address_2": "SUITE C D",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082363",
            "telephone_number": "760-547-7573",
            "fax_number": "760-248-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCLIFT",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.