NPI Details
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 - practitioner other 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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 103TC1900X | Psychologist | Counseling | PSY11413 | CALIFORNIA | No |
| 2 | 175F00000X | Naturopath | | ND-556 | CALIFORNIA | Yes |
