Active NPI
Mimosa Tieuthu Tonnu, N.D.
- Naturopath
- Palo Alto, CA
National Provider Identifier
1710384375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 695
- Practice address
- 359 Middlefield Rd
Palo Alto, CA 94301-1345 - Phone
- (650) 323-7345
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 695 | CA | Primary |
Addresses
Primary practice location
359 Middlefield Rd
Palo Alto, CA 94301-1345
Mailing address
24 Winding Way
San Carlos, CA 94070-2813
Phone (626) 419-4572
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
| License | State | Type | Specialty |
|---|---|---|---|
| 695 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1710384375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WINDING WAY",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940702813",
"telephone_number": "626-419-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 MIDDLEFIELD RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011345",
"telephone_number": "650-323-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONNU",
"first_name": "MIMOSA",
"middle_name": "TIEUTHU",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.