Thrive Wellness Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14009 Issued in CA

Legal business name

THRIVE WELLNESS INC.

Practice address

4080 Centre Street
202
San Diego, CA 92103-2657

Phone

(619) 795-4422

Fax

(619) 795-4423

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Adam Fuller, L.A.C

Title

President

Phone

(619) 795-4422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1679823850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 CENTRE STREET",
            "address_2": "202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032657",
            "telephone_number": "619-795-4422",
            "fax_number": "619-795-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CENTRE STREET",
            "address_2": "202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032657",
            "telephone_number": "619-795-4422",
            "fax_number": "619-795-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-795-4422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.A.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.