Organization Active NPI

Institute for Functional Health and Nutrition

  • Primary Care Clinic/Center
  • Newhall, CA
National Provider Identifier
1467274795
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INSTITUTE FOR FUNCTIONAL HEALTH AND NUTRITION
Practice address
25078 Peachland Ave Ste a
Newhall, CA 91321-2558
Phone
(818) 298-7449
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Dolores Rangel, NPNPI 1780277145
Title
Ceo
Phone
(818) 298-7449

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

25078 Peachland Ave Ste a
Newhall, CA 91321-2558

Mailing address

25078 Peachland Ave Ste a
Newhall, CA 91321-2558
Phone (818) 298-7449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241126004194 CA Part B Supplier - Clinic/Group Practice 0749715852 Receives reassigned benefits from 1 practitioner
Practice locations: Newhall, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1467274795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE STE A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212558",
            "telephone_number": "818-298-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE STE A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212558",
            "telephone_number": "818-298-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR FUNCTIONAL HEALTH AND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-298-7449",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.