Organization Active NPI

Vibrant Natural Medicine

  • Naturopath
  • Foster City, CA
National Provider Identifier
1639602782
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND 788 Issued in CA
Legal business name
VIBRANT NATURAL MEDICINE
Practice address
732 Marlin Ave
Apt 4
Foster City, CA 94404-1895
Phone
(858) 361-8158
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Christine K Chang, ND., LAC
Title
Owner
Phone
(858) 361-8158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC17051 CA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X ND 788 CA Primary

Addresses

Primary practice location

732 Marlin Ave
Apt 4
Foster City, CA 94404-1895

Mailing address

732 Marlin Ave
Apt 4
Foster City, CA 94404-1895
Phone (858) 361-8158

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1639602782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MARLIN AVE",
            "address_2": "APT 4",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041895",
            "telephone_number": "858-361-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MARLIN AVE",
            "address_2": "APT 4",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041895",
            "telephone_number": "858-361-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-361-8158",
        "authorized_official_credential": "ND., LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17051",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND 788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.