Active NPI
Whole Medicine LLC
- Clinic/Center
- Capitola, CA
National Provider Identifier
1932490968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WHOLE MEDICINE LLC
- Practice address
- 1595 38TH Ave
Capitola, CA 95010-2901 - Phone
- (831) 621-1848
- Fax
- (831) 621-1804
- NPI assigned
- Apr 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bart Teeuwisse
- Title
- Clinic Director
- Phone
- (831) 621-1848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1595 38TH Ave
Capitola, CA 95010-2901
Mailing address
1595 38TH Ave
Capitola, CA 95010-2901
Phone (831) 621-1848
National Provider Directory
National Provider DirectoryLocations
1595 38th Ave
Capitola, CA 95010
Phone (831) 226-2108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1932490968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 38TH AVE",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102901",
"telephone_number": "831-621-1848",
"fax_number": "831-621-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 38TH AVE",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102901",
"telephone_number": "831-621-1848",
"fax_number": "831-621-1804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-25",
"last_updated": "2023-09-07",
"status": "A",
"authorized_official_last_name": "TEEUWISSE",
"authorized_official_first_name": "BART",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "831-621-1848"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.