Full Circle Center for Integrative Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A51185 Issued in CA

Legal business name

FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE

Practice address

4641 Valley East Blvd # 2
Arcata, CA 95521-4630

Phone

(707) 840-4701

Fax

(855) 420-6321

NPI assigned

Jan 4, 2007

Last updated

Oct 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corinne Vivian Basch, M.D.NPI 1790853083

Title

Owner

Phone

(707) 840-4701

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corinne Vivian Basch, M.D.

  • Family Medicine Physician
  • Arcata, CA
  • NPI 1790853083
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475971200000",
    "number": "1326195058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 VALLEY EAST BLVD # 2",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214630",
            "telephone_number": "707-840-4701",
            "fax_number": "855-420-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 VALLEY EAST BLVD # 2",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214630",
            "telephone_number": "707-840-4701",
            "fax_number": "855-420-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-10-09",
        "status": "A",
        "authorized_official_last_name": "BASCH",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-840-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51185",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Frigot
• Julia Ann Fritz, RPT
• Nicole R Fryer, CMT
• Fuente Nueva Charter School
• Anna Fuerbach
• Functional Mental Health Solutions
• Kathleen Kaati Gaffney
• Devon Joy Gagliard-Nwuko
• Devin Andrew Galdieri, MS
• Gary G Garcia, M.D.

• Family Medicine Physician in Arcata, CA
• Providers in Arcata, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.