MADRONA NATUROPATHIC HEALTHCARE, INC (NPI# 1265723217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265723217 |
| Entity Type | Organization |
| Organization Name | MADRONA NATUROPATHIC HEALTHCARE, INC |
| Practice Address |
2221 Balfour Rd Ste D Brentwood CA 94513-4932 |
| Mailing Address |
161 Chestnut St # 6 Brentwood CA 94513-1302 |
| Practice Telephone | 6512330608 |
| Practice Fax Number | 9256344091 |
| Mailing Telephone | 6512330608 |
| Mailing Fax Number | 9256344091 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | DR. MARGARET MARY STAHLER (OWNER) |
| Authorized Official Telephone | 6512330608 |
| Authorized Official Credential | N.D., R.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1008 | MN | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
225 | CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MADRONA NATUROPATHIC HEALTHCARE, INC | 1216 Landman Dr Ne, Albuquerque, NM 87112 |
| Street Address |
2221 BALFOUR RD STE D |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255386488 | Terri Marlett | Registered Nurse | 2221 Balfour Rd, Suite A, Brentwood, CA 94514 | 2006-05-24 |
| 1023574423 | Christina Lackland | Nurse Practitioner | 2221 Balfour Rd, Brentwood, CA 94513-4932 | 2019-02-11 |
| 1205234606 | Timothy Ray | Physician Assistant | 2221 Balfour Rd, Suite A, Brentwood, CA 94513-4932 | 2014-12-17 |
| 1174781306 | Barman and Sargent Inc | Physical Therapist | 2221 Balfour Rd, Suite D, Brentwood, CA 94513-4932 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1952794158 | Storykeepers | Clinic/Center | 604 Brelan Ct, Brentwood, TN 37027-4762 | 2015-03-11 |
| 1982025292 | Felicity Pediatrics, A Professional Medical Corporation | Clinic/Center | 2400 Balfour Rd, Suite 302, Brentwood, CA 94513-4945 | 2014-01-04 |
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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.