Active NPI
Grace Victor, ND
- Naturopath
- San Marcos, CA
National Provider Identifier
1326701194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND1290
- Practice address
- 366 Edgewater Dr
San Marcos, CA 92078-5090 - Phone
- (760) 814-4221
- NPI assigned
- Oct 19, 2021
- 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 | ND1290 | CA | Primary |
Addresses
Primary practice location
366 Edgewater Dr
San Marcos, CA 92078-5090
Mailing address
366 Edgewater Dr
San Marcos, CA 92078-5090
Phone (760) 814-4221
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 |
|---|---|---|---|
| ND1290 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1326701194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 EDGEWATER DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920785090",
"telephone_number": "760-814-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 EDGEWATER DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920785090",
"telephone_number": "760-814-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTOR",
"first_name": "GRACE",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.