Active NPI
Dreamscape Ketamine and IV Therapy Lounge
- Infusion Therapy Registered Nurse
- San Diego, CA
National Provider Identifier
1790576577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- Legal business name
- DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE
- Practice address
- 3530 Camino del Rio N Ste 200
San Diego, CA 92108-1745 - Phone
- (619) 992-9778
- Fax
- (619) 374-1696
- NPI assigned
- May 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherry Ann Smith, RN
- Title
- Coo
- Phone
- (619) 674-0266
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | Primary | ||
| Clinical Nurse Specialist | 364S00000X | |||
| Community Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0812X |
Addresses
Primary practice location
3530 Camino del Rio N Ste 200
San Diego, CA 92108-1745
Mailing address
3530 Camino del Rio N Ste 200
San Diego, CA 92108-1745
Phone (619) 674-0266
National Provider Directory
National Provider DirectoryLocations
3530 Camino del Rio N
Ste 200
San Diego, CA 92108
Phone (619) 992-9778
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1073574380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1790576577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 CAMINO DEL RIO N STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081745",
"telephone_number": "619-674-0266",
"fax_number": "619-228-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 CAMINO DEL RIO N STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081745",
"telephone_number": "619-992-9778",
"fax_number": "619-374-1696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-13",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "SHERRY ANN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "619-674-0266",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0812X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.