Active NPI
Isabela Fortes Baumgardner, FDN-P, CIYT, CYT
- Health & Wellness Coach
- San Clemente, CA
National Provider Identifier
1740936210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 225143908
- Practice address
- 18 Corte El Brazo # 18
San Clemente, CA 92673-7023 - Phone
- (949) 547-9673
- NPI assigned
- Feb 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 225143908 | TX | Primary |
Addresses
Primary practice location
18 Corte El Brazo # 18
San Clemente, CA 92673-7023
Mailing address
18 Corte El Brazo
San Clemente, CA 92673-7023
Phone (949) 547-9673
Other names 1
- Isabela Fortes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.isabelafortes.com | Direct |
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 |
|---|---|---|---|
| 225143908 | TX | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1740936210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CORTE EL BRAZO",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926737023",
"telephone_number": "949-547-9673",
"fax_number": "949-481-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CORTE EL BRAZO # 18",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926737023",
"telephone_number": "949-547-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARDNER",
"first_name": "ISABELA",
"middle_name": "FORTES",
"credential": "FDN-P, CIYT, CYT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "TX",
"license": "225143908",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.isabelafortes.com",
"affiliation": "N",
"endpointDescription": "laptop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18 Corte El Brazo # 18",
"city": "San Clemente",
"state": "CA",
"country_code": "US",
"postal_code": "926737023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ISABELA",
"last_name": "FORTES",
"credential": "FDN-P, CIYT, CYT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.