Seaside Integrative Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A83666 Issued in CA

Legal business name

SEASIDE INTEGRATIVE MEDICAL CENTER INC

Practice address

317 N El Camino Real
Suite 406
Encinitas, CA 92024-2811

Phone

(760) 452-2305

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Steven Williamson

Title

Owner

Phone

(760) 452-2305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1881079986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "SUITE 406",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-452-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "SUITE 406",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-452-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE INTEGRATIVE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-452-2305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Renee Scruggs, LAC
• Zoeann M Seals, HHP
• Sean Hassinger MD Inc
• Casey Sears, FNP-C
• Seaside Holistic Healing Collective LCSW PC
• Ford Scott Sebastian, DC
• Patricia Sedlock
• Seed Acupuncture Inc
• Krystal Garrovillo Seigler, PHARMD
• Jennifer Lyn Seine, L.AC,

• Family Medicine Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.