Active NPI
Sonja N Fung, ND
- Naturopath
- La Quinta, CA
National Provider Identifier
1326285800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 331
- Practice address
- 78900 Avenue 47
Suite 102
La Quinta, CA 92253-2070 - Phone
- (760) 771-5970
- NPI assigned
- Jan 20, 2009
- Last updated
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 331 | CA | Primary |
Addresses
Primary practice location
78900 Avenue 47
Suite 102
La Quinta, CA 92253-2070
Mailing address
78900 Avenue 47
Suite 102
La Quinta, CA 92253-2070
Phone (760) 771-5970
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 |
|---|---|---|---|
| 331 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Well Naturopathic Clinic, a Professional Corporation | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Live Well Clinic
- Naturopath
- La Quinta, CA
- NPI 1861639700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498089600000",
"number": "1326285800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78900 AVENUE 47",
"address_2": "SUITE 102",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532070",
"telephone_number": "760-771-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78900 AVENUE 47",
"address_2": "SUITE 102",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532070",
"telephone_number": "760-771-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "SONJA",
"middle_name": "N",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2017-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
- Brian Patrick Finch, DPT
- First Choice Physician Partners (Desert Region Family Medicine)
- Firstsight Vision Services, Inc
- Calvin J Flowers, M.D.
- Fratt Dental Corporation (La Quinta Dental)
- Nicole Mary Gallegos, LCSW
- Alex A Garcia
- Gary Ronald Gomez Garcia, FNP-C
- Gannon Aaron Gardner
- Garfield Beach CVS LLC (CVS Pharmacy #16987)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.