Pacific Bay Naturopathic Healthcare

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND106 Issued in CA

Legal business name

PACIFIC BAY NATUROPATHIC HEALTHCARE

Practice address

6218 Manchester Avenue
Suite D
Los Angeles, CA 90045

Phone

(310) 641-0111

Fax

(610) 641-0110

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stacie Kelley, ND

Title

Naturopathic Doctor

Phone

(562) 531-4220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932313871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83664",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900830664",
            "telephone_number": "562-531-4220",
            "fax_number": "562-531-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 MANCHESTER AVENUE",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-641-0111",
            "fax_number": "610-641-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BAY NATUROPATHIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "562-531-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Arthritis Care Center Inc.
• Pacific Asian Alcohol and Drug Program
• Pacific Asian Counseling Services
• Pacific Asian Counseling Services
• Pacific Asian Counseling Services
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics

• Naturopath in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.