FUNCTIONAL MEDICINE SPECIALISTS (NPI# 1164962932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164962932 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL MEDICINE SPECIALISTS |
| Other Organization Name | FUNCTIONAL MEDICINE SPECIALISTS NURSING PRACTITIONER SERVICES |
| Practice Address |
2210 Encinitas Blvd Ste T Encinitas CA 92024-4376 |
| Practice Telephone | 7602703990 |
| Mailing Telephone | 7602703990 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | MRS. CAMBRIA MARCY DEMARCO PERRY (OWNER) |
| Authorized Official Telephone | 6193066949 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 534073 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Functional Medicine Specialists Nursing Practitioner Services | Doing Business As Name - Organization |
| Street Address |
2210 ENCINITAS BLVD STE T |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-4376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326082165 | Nicola M L Ranson | Social Worker | 2210 Encinitas Blvd Ste T, Encinitas, CA 92024 | 2006-06-15 |
| 1720500960 | Zariah Nancy Ricossa | Social Worker | 2210 Encinitas Blvd Ste T, Encinitas, CA 92024-4376 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323274 | Matru-sparsh Acupuncture Heath and Wellness Clinic Inc | Clinic/Center | 888 Channel Island Dr, Encinitas, CA 92024-2484 | 2018-07-24 |
| 1144751231 | Pacific International Acupuncture & Healing, Inc | Clinic/Center | 4401 Manchester Ave Ste 202, Encinitas, CA 92024-7904 | 2017-03-21 |
| 1144688128 | Aesthetically Pleasing Medical Spa, Inc. | Clinic/Center | 285 N El Camino Real, Suite 204, Encinitas, CA 92024-5383 | 2016-02-04 |
| 1962891697 | Carriero Foot and Ankle, Inc | Clinic/Center | 310 Santa Fe Dr Ste 112, Encinitas, CA 92024-5123 | 2015-01-19 |
| 1609100924 | Sima Shakiba, M.d. Inc. | Clinic/Center | 535 Encinitas Blvd, Suite 112, Encinitas, CA 92024-3742 | 2009-09-21 |
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| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.