Active NPI
Holistic Clinic LLC
- Holistic Clinical Nurse Specialist
- Escondido, CA
National Provider Identifier
1528810397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Holistic Clinical Nurse Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Holistic Clinical Nurse Specialist | 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 DirectoryLocations
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.