Organization Active NPI

Holistic Clinic LLC

  • Holistic Clinical Nurse Specialist
  • Escondido, CA
National Provider Identifier
1528810397
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X
Legal business name
HOLISTIC CLINIC LLC
Practice address
1048 E Pennsylvania Ave
Escondido, CA 92025-4617
Phone
(407) 343-4744
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Miss Noemi Amador, CLINICAL IRIDOLOGY
Title
Managing Member
Phone
(407) 343-4744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Holistic Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH1100X Primary

Addresses

Primary practice location

1048 E Pennsylvania Ave
Escondido, CA 92025-4617

Mailing address

1048 E Pennsylvania Ave
Escondido, CA 92025-4617
Phone (407) 343-4744

National Provider Directory

National Provider Directory

Locations

1048 E Pennsylvania Ave
Escondido, CA 92025
Phone (407) 343-4744

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1528810397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254617",
            "telephone_number": "407-343-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254617",
            "telephone_number": "407-343-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-343-4744",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CLINICAL IRIDOLOGY"
    },
    "taxonomies": [
        {
            "code": "364SH1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.