Organization Active NPI

Inneroptimal, Inc.

  • Clinic/Center
  • Encinitas, CA
National Provider Identifier
1477263085
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INNEROPTIMAL, INC.
Practice address
2210 Encinitas Blvd Ste L
Encinitas, CA 92024-4376
Phone
(760) 633-3328
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Katherine M Bodemer
Title
Office Manager
Phone
(760) 633-3328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2210 Encinitas Blvd Ste L
Encinitas, CA 92024-4376

Mailing address

2210 Encinitas Blvd Ste L
Encinitas, CA 92024-4376
Phone (760) 633-3328

National Provider Directory

National Provider Directory

Locations

2210 Encinitas Blvd
Ste L
Encinitas, CA 92024
Phone (760) 633-3328

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1477263085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 ENCINITAS BLVD STE L",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244376",
            "telephone_number": "760-633-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 ENCINITAS BLVD STE L",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244376",
            "telephone_number": "760-633-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNEROPTIMAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BODEMER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-633-3328"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.