Individual provider Active NPI

Annissa M Ceja, ND

  • Naturopath
  • La Quinta, CA
National Provider Identifier
1912772435
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-1470 Issued in CA
Practice address
78900 Avenue 47 Ste 102
La Quinta, CA 92253-2070
Phone
(760) 771-5970
NPI assigned
Nov 15, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-1470 CA Primary

Addresses

Primary practice location

78900 Avenue 47 Ste 102
La Quinta, CA 92253-2070

Mailing address

78900 Avenue 47 Ste 102
La Quinta, CA 92253-2070
Phone (760) 771-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND-1470CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Naturopathic Clinic, a Professional Corporation Naturopath CurrentSince Nov 19, 2023 Accepting new patients

Locations

78900 Avenue 47
Ste 102
La Quinta, CA 92253
Phone (760) 600-5325

Interoperability endpoints

  • Direct secure messaging: annissa.ceja@379019700404228.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1912772435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78900 AVENUE 47 STE 102",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532070",
            "telephone_number": "760-771-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78900 AVENUE 47 STE 102",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532070",
            "telephone_number": "760-771-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEJA",
        "first_name": "ANNISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-1470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.