Active NPI
Ariana Poulakos, N.D.
- Naturopath
- Irvine, CA
National Provider Identifier
1477004919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 825
- Practice address
- 4968 Booth Cir
Suite 101
Irvine, CA 92604-3360 - Phone
- (949) 753-7475
- NPI assigned
- Oct 19, 2016
- Last updated
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 825 | CA | Primary |
Addresses
Primary practice location
4968 Booth Cir
Suite 101
Irvine, CA 92604-3360
Mailing address
1765 Santa Ana Ave
Apt V102
Costa Mesa, CA 92627-3187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Felice L. Gersh, M.D., Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Integrative Medical Group of Irvine
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1821121328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1477004919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 SANTA ANA AVE",
"address_2": "APT V102",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4968 BOOTH CIR",
"address_2": "SUITE 101",
"city": "IRVINE",
"state": "CA",
"postal_code": "926043360",
"telephone_number": "949-753-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULAKOS",
"first_name": "ARIANA",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.