Organization Active NPI

Whole Medicine LLC

  • Clinic/Center
  • Capitola, CA
National Provider Identifier
1932490968
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Sep 7, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.