Body Synthesis

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BODY SYNTHESIS

Practice address

8439 N Lake Dr Apt G
Dublin, CA 94568-3359

Phone

(818) 813-4300

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Tavares Allen Garrett, CNC

Title

Certified Nutrition Coach

Phone

(818) 813-4300

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1790411445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 N LAKE DR APT G",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683359",
            "telephone_number": "818-813-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 N LAKE DR APT G",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683359",
            "telephone_number": "818-813-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SYNTHESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "TAVARES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CERTIFIED NUTRITION COACH",
        "authorized_official_telephone_number": "818-813-4300",
        "authorized_official_credential": "CNC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Dublin, CA
• Providers in Dublin, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.