Active NPI
Kannamma Kannan, NMD
- Naturopath
- San Diego, CA
National Provider Identifier
1316068299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-314
- Practice address
- 9750 Miramar Rd
Suite 210
San Diego, CA 92126-4560 - Phone
- (858) 205-5152
- Fax
- (866) 351-7419
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-314 | CA | Primary |
Addresses
Primary practice location
9750 Miramar Rd
Suite 210
San Diego, CA 92126-4560
Mailing address
10323 Reserve Dr
# 106
San Diego, CA 92127-3566
Phone (858) 312-5721
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-314 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1316068299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10323 RESERVE DR",
"address_2": "# 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273566",
"telephone_number": "858-312-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 MIRAMAR RD",
"address_2": "SUITE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264560",
"telephone_number": "858-205-5152",
"fax_number": "866-351-7419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAN",
"first_name": "KANNAMMA",
"name_prefix": "Dr.",
"credential": "NMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.