Drmichaels Wellness Center

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

CNS16073 Issued in CA

Legal business name

DRMICHAELS WELLNESS CENTER

Practice address

424 N Lake Ave Ste 102
Pasadena, CA 91101-1202

Phone

(626) 440-7406

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marios Michael I, CNS

Title

Doctor

Phone

(626) 440-7406

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1932461902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N LAKE AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011202",
            "telephone_number": "626-440-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N LAKE AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011202",
            "telephone_number": "626-440-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRMICHAELS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MARIOS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-440-7406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "CNS16073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMA",
            "identifier": "CNS16073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal C Dreisbach, M.S.
• Lucy Drew
• Genevive Mary Drews
• Bonnie Driessel
• DRM Psychological Services Corporation
• Karen A Drosdik, DDS
• Shefali Dsa, MFT
• Deborah Duan
• Marina Grisele Duarte-Pulido, PMHNP
• Alexia Annjellea Duarte

• Nutrition Education Nutritionist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.