Active NPI
Mark Duane Janikula, N.D.
- Naturopath
- Capitola, CA
National Provider Identifier
1285844399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-482
- Practice address
- 4245 Capitola Rd
Suite 101
Capitola, CA 95010-3573 - Phone
- (831) 475-2604
- Fax
- (831) 475-2605
- NPI assigned
- May 23, 2007
- Sex
- Male
- 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 | ND-482 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 95-ND | MT |
Addresses
Primary practice location
4245 Capitola Rd
Suite 101
Capitola, CA 95010-3573
Mailing address
4245 Capitola Rd
Suite 101
Capitola, CA 95010-3573
Phone (831) 475-2604
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 |
|---|---|---|---|
| ND-482 | CA | MD | Naturopath |
| 95-ND | MT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1285844399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 CAPITOLA RD",
"address_2": "SUITE 101",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103573",
"telephone_number": "831-475-2604",
"fax_number": "831-475-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 CAPITOLA RD",
"address_2": "SUITE 101",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103573",
"telephone_number": "831-475-2604",
"fax_number": "831-475-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANIKULA",
"first_name": "MARK",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-482",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "95-ND",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.