Organization Active NPI

Dna, Integrated Health,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Poway, CA
National Provider Identifier
1356479661
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101304 Issued in CA
Legal business name
DNA, INTEGRATED HEALTH,INC.
Practice address
13715 Poway Rd Ste 2
Poway, CA 92064-4732
Phone
(858) 391-3395
Fax
(858) 679-7663
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mrs. Mary D'Acquisto
Title
Executive Administrator
Phone
(858) 391-3395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101304 CA Primary

Addresses

Primary practice location

13715 Poway Rd Ste 2
Poway, CA 92064-4732

Mailing address

13715 Poway Rd Ste 2
Poway, CA 92064-4732
Phone (858) 391-3395

Other names 1

  • INTEGRATED HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

13715 Poway Rd
Ste 2
Poway, CA 92064
Phone (858) 391-3395

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1356479661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13715 POWAY RD STE 2",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644732",
            "telephone_number": "858-391-3395",
            "fax_number": "858-679-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13715 POWAY RD STE 2",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644732",
            "telephone_number": "858-391-3395",
            "fax_number": "858-679-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA, INTEGRATED HEALTH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "D'ACQUISTO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "858-391-3395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATED HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.