Organization Active NPI

Preventativerx

  • Non-Pharmacy Dispensing Site
  • Dana Point, CA
National Provider Identifier
1578843397
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PREVENTATIVERX
Practice address
24882 Sea Aire
Dana Point, CA 92629-1848
Phone
(949) 322-1509
Fax
(949) 661-1901
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Steve Schroeder
Title
Ceo
Phone
(310) 722-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X CA Primary

Addresses

Primary practice location

24882 Sea Aire
Dana Point, CA 92629-1848

Mailing address

24882 Sea Aire
Dana Point, CA 92629-1848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1578843397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24882 SEA AIRE",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24882 SEA AIRE",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291848",
            "telephone_number": "949-322-1509",
            "fax_number": "949-661-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVERX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-722-9733"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.