Active NPI
Preventativerx
- Non-Pharmacy Dispensing Site
- Dana Point, CA
National Provider Identifier
1578843397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.