Organization Active NPI

Cryo Health Spa

Doing business as Arctic Restore

  • Pain Clinic/Center
  • Alamo, CA
National Provider Identifier
1811659907
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CRYO HEALTH SPA
Doing business as
Arctic Restore
Practice address
3235 Danville Blvd
Alamo, CA 94507-1913
Phone
(925) 309-4075
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Jessie Storm, PA
Title
GM
Phone
(925) 309-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3235 Danville Blvd
Alamo, CA 94507-1913

Mailing address

3235 Danville Blvd
Alamo, CA 94507-1913
Phone (925) 309-4075

Other names 1

  • Arctic Restore Doing business as

National Provider Directory

National Provider Directory

Locations

3235 Danville Blvd
Alamo, CA 94507
Phone (925) 309-4075

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1811659907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 DANVILLE BLVD",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071913",
            "telephone_number": "925-309-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 DANVILLE BLVD",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071913",
            "telephone_number": "925-309-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYO HEALTH SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "925-309-4075",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arctic Restore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.