Family and Holistic Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A46666 Issued in CA

Legal business name

FAMILY AND HOLISTIC HEALTH

Practice address

1450 N El Camino Real Ste a
San Clemente, CA 92672-5909

Phone

(949) 388-0751

Fax

(949) 388-7325

NPI assigned

Aug 13, 2006

Last updated

Aug 22, 2020By 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. Carol Barnes-Blanks, M.D.NPI 1720009152

Title

Owner

Phone

(949) 388-0751

Specialties & licenses 1

Addresses

Locations

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.

• Carol Ann Barnes-Blanks, MD

  • Family Medicine Physician
  • Lake Forest, CA
  • NPI 1720009152
  NPD (past) Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356353502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N EL CAMINO REAL STE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725909",
            "telephone_number": "949-388-0751",
            "fax_number": "949-388-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N EL CAMINO REAL STE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725909",
            "telephone_number": "949-388-0751",
            "fax_number": "949-388-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES-BLANKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-388-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A46666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in San Clemente, CA
• Providers in San Clemente, 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 Aug 22, 2020; 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.