NPIMap

Organization Active NPI

Northwest Center for Optimal Health Inc

  • Naturopath
  • Marysville, WA
National Provider Identifier
1780806869
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
NORTHWEST CENTER FOR OPTIMAL HEALTH INC
Practice address
316 State Ave
Marysville, WA 98270-5028
Phone
(360) 651-9355
Fax
(360) 651-7745
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Dr. Kasra Pournadeali, N.D.NPI 1740401801
Title
Director
Phone
(360) 651-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary
Primary Care Clinic/Center 261QP2300X
Radiology Clinic/Center 261QR0200X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

316 State Ave
Marysville, WA 98270-5028

Mailing address

316 State Ave
Marysville, WA 98270-5028
Phone (360) 651-9355

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0937356Northwest Center for Optimal Health316 State Avenue, Marysville, WA 98270Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

316 State Ave
Marysville, WA 98270
Phone (360) 651-9355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19191/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1780806869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705028",
            "telephone_number": "360-651-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705028",
            "telephone_number": "360-651-9355",
            "fax_number": "360-651-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CENTER FOR OPTIMAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "POURNADEALI",
        "authorized_official_first_name": "KASRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-651-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.