Healthcare Provider Details

I. General information

NPI: 1013432756
Provider Name (Legal Business Name): C. JUSTICE NACCARATO DACM, MSTOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CASEY JUSTICE NACCARATO DACM, MSTOM

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 OCEANSIDE BLVD STE H #344
OCEANSIDE CA
92056-3473
US

IV. Provider business mailing address

4225 OCEANSIDE BLVD STE H
OCEANSIDE CA
92056-3473
US

V. Phone/Fax

Practice location:
  • Phone: 760-688-8054
  • Fax:
Mailing address:
  • Phone: 760-688-8054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: