Shacy Rivera, ND, MPH

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND903 Issued in CA

Practice address

124 Lomas Santa Fe Dr Ste 206
Solana Beach, CA 92075-1252

Phone

(858) 228-4188

NPI assigned

Nov 5, 2018

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andory Integrated Health and Consulting PC

  dba Spark Health Integrative Medicine

  • Primary Care Clinic/Center
  • Solana Beach, CA
  • NPI 1366044745
  NPD

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1801364260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 LEGACY TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LOMAS SANTA FE DR STE 206",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751252",
            "telephone_number": "858-228-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SHACY",
        "name_prefix": "Dr.",
        "credential": "ND, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Rettger, PHD
• Brittany Revell, PT, DPT
• Randy Reyes, NP
• Rich Hycner, PH.D.
• Rise Physical Therapy Inc (SoCal Elite Physical Therapy)
• Robert a. Rosenfeld DDS (a Professional Dental Corporation)
• Robert S Yuhas MD Inc
• Paul Roh, PT, DPT, OT
• Melinda Faith Roland, MA PT LAC OMD
• Julio Cesar Romero, M.D.

• Naturopath in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.