NPIMap

Organization Active NPI

Holistika Health Group

Doing business as Holistika Nutrition & Wellness

  • Nutritionist
  • San Diego, CA
National Provider Identifier
1407605371
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
HOLISTIKA HEALTH GROUP
Doing business as
Holistika Nutrition & Wellness
Practice address
402 W Broadway Ste 400
San Diego, CA 92101-3554
Phone
(619) 363-1198
NPI assigned
May 14, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Maria Ramirez, MS, CNNPI 1861259715
Title
Owner
Phone
(619) 363-1198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary
Nutrition Education Nutritionist 133NN1002X NU

Addresses

Primary practice location

402 W Broadway Ste 400
San Diego, CA 92101-3554

Mailing address

PO Box 8152
Chula Vista, CA 91912-8152

Other practice location 1

14110 NE 21st St # 1181
Bellevue, WA 98007-3719
Phone (619) 363-1198

Other names 1

  • Holistika Nutrition & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331002337 WA Part B Supplier - Clinic/Group Practice 1153844121 Receives reassigned benefits from 1 practitioner
Practice locations: Brush Prairie, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1407605371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8152",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919128152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013554",
            "telephone_number": "619-363-1198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14110 NE 21st St # 1181",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073719",
            "country_code": "US",
            "telephone_number": "619-363-1198",
            "fax_number": "855-632-2865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIKA HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-363-1198",
        "authorized_official_credential": "MS, CN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistika Nutrition & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holistika Nutrition & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.