Healthcare Provider Details

I. General information

NPI: 1922541432
Provider Name (Legal Business Name): NETA CASPI N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2016
Last Update Date: 12/09/2021
Certification Date: 12/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 DEER RUN RD
FELTON CA
95018-9272
US

IV. Provider business mailing address

423 DEER RUN RD
FELTON CA
95018-9272
US

V. Phone/Fax

Practice location:
  • Phone: 831-824-4293
  • Fax: 831-480-5864
Mailing address:
  • Phone: 831-824-4293
  • Fax: 831-480-5864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: