Organization Active NPI

Kizzy Raphael, ND

  • Naturopath
  • Menlo Park, CA
National Provider Identifier
1508261884
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND682 Issued in CA
Legal business name
KIZZY RAPHAEL, ND
Practice address
841 El Camino Real
Menlo Park, CA 94025-4807
Phone
(650) 233-7327
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Dr. Kizzy Raphael Schalkwijk
Title
Naturopathic Doctor
Phone
(954) 654-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X ND682 CA Primary

Addresses

Primary practice location

841 El Camino Real
Menlo Park, CA 94025-4807

Mailing address

3362 Brittan Ave Apt 2
San Carlos, CA 94070-3417

National Provider Directory

National Provider Directory

Locations

841 El Camino Real
Menlo Park, CA 94025
Phone (650) 233-7327

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1508261884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 BRITTAN AVE APT 2",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254807",
            "telephone_number": "650-233-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIZZY RAPHAEL, ND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "SCHALKWIJK",
        "authorized_official_first_name": "KIZZY",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "954-654-0911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.