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BASTYR UNIVERSITY NPI 1104160043


NPI Information

NPI: 1104160043
Provider Name: BASTYR UNIVERSITY

Doing Business As: BASTYR UNIVERSITY CLINIC

Classification: Naturopath - 175F00000X
Entity Type: Organization

CLIA Number: 05D2053984

Address:
4106 SORRENTO VALLEY BLVD
SAN DIEGO, CA
ZIP 92121
Phone: (858) 246-9730
Get Directions

BASTYR UNIVERSITY is a naturopath in San Diego, CA. The provider is diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. BASTYR UNIVERSITY NPI is 1104160043. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bastyr University Clinic.

The provider's business location address is:

4106 SORRENTO VALLEY BLVD
SAN DIEGO, CA
ZIP 92121-407
Phone: (858) 246-9730
Fax: (858) 246-9710

The provider's authorized official is Moira Pyle Fitzpatrick .
The authorized official title is Vice President and has the following contact phone number (858) 246-9701.

The CLIA number assigned to this NPI record is 05D2053984 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC1900XPsychologistCounselingPSY11413CALIFORNIANo
2175F00000XNaturopathND-556CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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