Individual provider Active NPI

Drew Evan Collins, N.D.

  • Naturopath
  • La Mesa, CA
National Provider Identifier
1649432709
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1332 Issued in OR
Practice address
8811 Grossmont Blvd
La Mesa, CA 91942-9026
Phone
(619) 440-3838
Fax
(619) 337-9008
NPI assigned
Jun 30, 2008
Last updated
Sep 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X ND-83 / NDF-83 CA
Naturopath 175F00000X 1332 OR Primary

Addresses

Primary practice location

8811 Grossmont Blvd
La Mesa, CA 91942-9026

Mailing address

8811 Grossmont Blvd
La Mesa, CA 91942-9026
Phone (619) 440-3838

Other identifiers 2

IdentifierTypeStateIssuer
ND-83 / NDF-83OtherCANATUROPATHIC MEDICAL LICENSE
1332OtherORNATUROPATHIC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND-83 / NDF-83CAMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1649432709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 GROSSMONT BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429026",
            "telephone_number": "619-440-3838",
            "fax_number": "619-337-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 GROSSMONT BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429026",
            "telephone_number": "619-440-3838",
            "fax_number": "619-337-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DREW",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "ND-83 / NDF-83",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC MEDICAL LICENSE",
            "identifier": "ND-83 / NDF-83",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC MEDICAL LICENSE",
            "identifier": "1332",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.