Northranch Wellness, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHRANCH WELLNESS, INC

Practice address

31225 La Baya Dr Ste 206B
Westlake Village, CA 91362-4019

Phone

(818) 889-8373

Fax

(818) 889-7368

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Natalie Sampson, P.T.

Title

Physical Therapist

Phone

(818) 889-8373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720163967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31225 LA BAYA DR STE 206B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624019",
            "telephone_number": "818-889-8373",
            "fax_number": "818-889-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31225 LA BAYA DR STE 206B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624019",
            "telephone_number": "818-889-8373",
            "fax_number": "818-889-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRANCH WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-889-8373",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.