Garrett Emanon Wdowin, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

413 Issued in CA

Practice address

2121 E Coast Hwy Ste 210
Corona del Mar, CA 92625-1934

Phone

(949) 933-6852

Fax

(949) 281-5334

NPI assigned

Oct 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wdowin Naturopathic Inc

  • Naturopath
  • Corona del Mar, CA
  • NPI 1215581145
  NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1710175799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 210",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251934",
            "telephone_number": "949-640-0096",
            "fax_number": "949-281-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 210",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251934",
            "telephone_number": "949-933-6852",
            "fax_number": "949-281-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Columbia Falls Stage",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599017762",
            "country_code": "US",
            "telephone_number": "406-269-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2538 N 55th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850082639",
            "country_code": "US",
            "telephone_number": "480-815-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WDOWIN",
        "first_name": "GARRETT",
        "middle_name": "EMANON",
        "name_prefix": "Mr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MT",
            "license": "1955",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099-0000227",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "07-1038",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watson Kong Yung Tung, O.M.D., LAC
• Burr Vonmaur, M.D.
• Ashley Waasted, MS, LMFT
• Jarfa Wabs, LMFT
• Wdowin Naturopathic Inc
• Lisa Jean Welton, PT
• Harish Yalamanchili, M.D.
• Anthony Marcus Yniguez, FNP-C
• Jacqueline Younesi, DDS
• Jamie Young, L.M.F.T.

• Naturopath in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.