Revive Naturopathic Medicine, Inc.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

CA-560 Issued in CA

Legal business name

REVIVE NATUROPATHIC MEDICINE, INC.

Practice address

560 Carlsbad Village Dr
202C
Carlsbad, CA 92008-2391

Phone

(760) 452-0763

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Derek Lawrence, N.DNPI 1003150434

Title

President

Phone

(760) 306-4842

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Lawrence, N.D.

  • Naturopath
  • Carlsbad, CA
  • NPI 1003150434
  NPD Authorized official

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1326381583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 HARRISON ST",
            "address_2": "#3",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083586",
            "telephone_number": "503-577-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CARLSBAD VILLAGE DR",
            "address_2": "202C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082391",
            "telephone_number": "760-452-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE NATUROPATHIC MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-306-4842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "CA-560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimie Edith Resendiz
• Reset Behavioral Health LLC
• Responsible Medical Corporation (Carlsbad Urgent Care)
• Tzili Ressler, OTR/L
• Restoration Therapy Center of SD, a MFT Corp
• Revive Orthopaedic Institute, Inc
• Aris Daelynn Reyes Lukins
• Cynthia B Reyes, M.T.
• Cynthya Amada Reyes
• Nazly E Reyes, PMHNP-BC

• Naturopath in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.