Organization Active NPI

Coastside Integrative Naturopathic Medical Group

  • Acupuncturist
  • Pacifica, CA
National Provider Identifier
1609216340
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
COASTSIDE INTEGRATIVE NATUROPATHIC MEDICAL GROUP
Practice address
450 Dondee St
Suite 5
Pacifica, CA 94044-3056
Phone
(650) 380-0089
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Sarah Rothman, ND, L.ACNPI 1518293349
Title
President
Phone
(650) 380-0089

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X

Addresses

Primary practice location

450 Dondee St
Suite 5
Pacifica, CA 94044-3056

Mailing address

450 Dondee St
Suite 5
Pacifica, CA 94044-3056
Phone (650) 380-0089

Other names 1

  • Thyme Integrative Health Doing business as

National Provider Directory

National Provider Directory

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1609216340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 DONDEE ST",
            "address_2": "SUITE 5",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443056",
            "telephone_number": "650-380-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 DONDEE ST",
            "address_2": "SUITE 5",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443056",
            "telephone_number": "650-380-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTSIDE INTEGRATIVE NATUROPATHIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-380-0089",
        "authorized_official_credential": "ND, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thyme Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.