NPI Code Detail JSON Logo

1861034753 NPI number — STEVEN MICHAEL MCCREA ND

NPI Number: 1861034753
Health Care Provider/Practitioner: STEVEN MICHAEL MCCREA ND

Information about “1861034753” NPI (STEVEN MICHAEL MCCREA ND) exists in 1861034753 in HTML format HTML  |  1861034753 in plain Text format TXT  |  1861034753 in PDF (Portable Document Format) PDF  |  1861034753 in an XML format XML  formats.

NPI Number : 1861034753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861034753",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCREA",
    "FirstName": "STEVEN",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ND",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2616 APERTURE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92108-2628",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-606-7367",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8950 VILLA LA JOLLA DR STE A107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA JOLLA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92037-1708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-254-5433",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/11/2019",
    "LastUpdateDate": "10/11/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "175F00000X",
        "TaxonomyName": "Naturopath",
        "LicenseNumber": "ND1086",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.