ELIXIR LIFESTYLE MEDICINE (NPI# 1194374884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194374884 |
| Entity Type | Organization |
| Organization Name | ELIXIR LIFESTYLE MEDICINE |
| Practice Address |
1732 Palma Dr Ste 104 Ventura CA 93003-5796 |
| Practice Telephone | 8056441064 |
| Practice Fax Number | 8056426524 |
| Mailing Telephone | 8056441064 |
| Mailing Fax Number | 8056426524 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | STACE NELSON-HICKS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8056441064 |
| Authorized Official Credential | DACM, L.AC. , CF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Street Address |
1732 PALMA DR STE 104 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-5796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376693424 | Jedidiah T Smith | Chiropractor | 1732 Palma Dr Ste 104, Ventura, CA 93003-5796 | 2007-01-11 |
| 1588263198 | Alexander Robert Smith | Acupuncturist | 1732 Palma Dr Ste 104, Ventura, CA 93003-5796 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346709508 | Johanne Rose | Acupuncturist | 4564 Telephone Rd Ste 805, Ventura, CA 93003-5661 | 2019-03-18 |
| 1427516046 | Margo Mcneeley | Acupuncturist | 700 E Santa Clara St, Ventura, CA 93001-2937 | 2019-03-04 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1215369756 | La Vie Acupuncture Clinic, Inc | Acupuncturist | 2660 E Main St Ste 202, Ventura, CA 93003-2774 | 2013-08-07 |
| 1740549385 | Geoffrey Alan Helms | Acupuncturist | 1363 Donlon St, Unit 17, Ventura, CA 93003-5637 | 2012-05-15 |
| 1114284197 | Katie Josephson Inc. | Acupuncturist | 209 N Ann St, Ventura, CA 93001-2112 | 2012-04-16 |
| 1265721146 | Caryn Audrey Carroll | Acupuncturist | 744 East Main St., Ventura, CA 93001 | 2011-03-31 |
| 1902102619 | Fred Siciliano | Acupuncturist | 4482 Market Street, Suite 403, Ventura, CA 93003 | 2011-01-28 |
| 1396051033 | Lauren Elizabeth Hoey | Acupuncturist | 153 E Lewis St, Ventura, CA 93001-1567 | 2010-08-18 |
| 1013230283 | Elizabeth Weldon | Acupuncturist | 3737 Telegraph Rd Ste F, Ventura, CA 93003-3464 | 2010-03-02 |
| Find all providers in VENTURA | ||||
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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.