Peninsula Naturopathic Medicine

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND419 Issued in CA

Legal business name

PENINSULA NATUROPATHIC MEDICINE

Practice address

2635 Middlefield Rd
Palo Alto, CA 94306-2516

Phone

(560) 564-7060

NPI assigned

Sep 12, 2013

Organization subpart

No

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

Authorized official

Name

Rebecca A Green, ND, LAC

Title

Ceo

Phone

(650) 564-7060

Specialties & licenses 2

Addresses

Other names 1

• Peninsula Integrative Medicine Doing business as

Locations

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1467887158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 AITKEN AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402201",
            "telephone_number": "560-564-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 MIDDLEFIELD RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062516",
            "telephone_number": "560-564-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA NATUROPATHIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-564-7060",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14320",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peninsula Gastroenterology Medical Group
• Peninsula Head & Neck Surgery,Inc
• Peninsula Healthcare Connection, Inc.
• Peninsula Healthcare Connection, Inc.
• Peninsula Mental Health, Inc
• Peninsula Optical Inc
• Neela Lakshmi Penumarthy, MD
• Sarah Penzel, PT
• Edgar Armando Peralta, PA-C
• Juliana Salcido Perceful, PHARMD

• Naturopath in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.