Individual provider Active NPI

Natasha Rae Wolf, N.D.

  • Naturopath
  • Carlsbad, CA
National Provider Identifier
1760634117
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-103 Issued in CA
Practice address
640 Grand Ave Ste E
Carlsbad, CA 92008-2365
Phone
(760) 720-6288
Fax
(760) 720-6238
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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-103 CA Primary

Addresses

Primary practice location

640 Grand Ave Ste E
Carlsbad, CA 92008-2365

Mailing address

640 Grand Ave Ste E
Carlsbad, CA 92008-2365
Phone (760) 720-6288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140527001332 CA Order and Referring Only - Family PracticePractitioner - Family Practice 1850514514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND-103CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1760634117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GRAND AVE STE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082365",
            "telephone_number": "760-720-6288",
            "fax_number": "760-720-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GRAND AVE STE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082365",
            "telephone_number": "760-720-6288",
            "fax_number": "760-720-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "NATASHA",
        "middle_name": "RAE",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.