Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
HOLISTICMD, INC
Active
Organization
HOLISTICMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN RODGERS (EXECUTIVE DIRECTOR)
(310) 678-6933
Entity
Organization
Contact information
Practice address
3636 FIFTH AVE, SAN DIEGO, CA 92103-4281
(310) 853-8855
Mailing address
3636 FIFTH AVE, SAN DIEGO, CA 92103-4281
(310) 853-8855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
133N00000X
Nutritionist
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up