NPIMap

Organization Active NPI

Advanced Hormone Replacement

  • Medical Specialty Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1508546003
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ADVANCED HORMONE REPLACEMENT
Doing business as
Advanced Hormone Replacement
Practice address
562 Camino Mercado
Arroyo Grande, CA 93420-1815
Phone
(805) 410-8971
NPI assigned
Jul 19, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Neil J Correia, MDNPI 1316145303
Title
President
Phone
(805) 540-1306

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

562 Camino Mercado
Arroyo Grande, CA 93420-1815

Mailing address

122 Pearwood Ave
Arroyo Grande, CA 93420-2910
Phone (805) 540-1306

Other names 1

  • Advanced Hormone Replacement Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Hormone Replacement2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1508546003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PEARWOOD AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202910",
            "telephone_number": "805-540-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 CAMINO MERCADO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201815",
            "telephone_number": "805-410-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HORMONE REPLACEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "CORREIA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-540-1306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Hormone Replacement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.