Individual provider Active NPI

Deborah Ann Polisoto, N.D.

  • Naturopath
  • Woodland Hills, CA
National Provider Identifier
1740439991
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-289 Issued in CA
Practice address
23371 Mulholland Dr
Ste 148
Woodland Hills, CA 91364-2734
Phone
(310) 593-4527
NPI assigned
Sep 11, 2008
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-289 CA Primary

Addresses

Primary practice location

23371 Mulholland Dr
Ste 148
Woodland Hills, CA 91364-2734

Mailing address

23371 Mulholland Dr
Ste 148
Woodland Hills, CA 91364-2734
Phone (310) 593-4527

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-289CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1740439991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23371 MULHOLLAND DR",
            "address_2": "STE 148",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642734",
            "telephone_number": "310-593-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23371 MULHOLLAND DR",
            "address_2": "STE 148",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642734",
            "telephone_number": "310-593-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISOTO",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.