JEFFREY IDICA (NPI# 1609329002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609329002 |
| Entity Type | Individual |
| Full Name | JEFFREY IDICA |
| Practice Address |
1775 E Palm Canyon Dr Ste 310 Palm Springs CA 92264 |
| Mailing Address |
1775 E Palm Canyon Dr Ste 310 Palm Springs CA 92264-1646 |
| Practice Telephone | 4243359110 |
| Mailing Telephone | 4243359110 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | ND753 | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1775 E Palm Canyon Dr Ste 310, Palm Springs, CA 92264 | 4243359110 | |
| 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 922702003 | 7603211315 |
| Street Address |
1775 E PALM CANYON DR STE 310 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1538727466 | Sina Khanbabakhani | Dentist | 555 South Sunrise Way, Palm Springs, CA 92264 | 2019-06-05 |
| 1265971162 | Mark Jordan Agresor | Assisted Living Facility | 4425 Camino Parocela, Palm Springs, CA 92264 | 2017-02-13 |
| 1609240605 | Brandon Hagar | Technician, Other | 3025 E Escoba Dr Apt 236, Palm Springs, CA 92264 | 2015-11-14 |
| 1861618852 | Jin Woo | Acupuncturist | 1001 S Palm Canyon Dr, Suite 105, Palm Springs, CA 92264 | 2007-04-18 |
| 1629114269 | Andrew Petras | Optometrist | 148 Eastlake Dr, Palm Springs, CA 92264 | 2007-01-30 |
| 1952453375 | Gina D Davis | Chiropractor | 4050 Airport Center Drive, Suite G, Palm Springs, CA 92264 | 2007-01-17 |
| 1548328834 | Michael R Gurk Ms Pt Apc | Physical Therapist | 1001 S Palm Canyon Drive, Ste 111, Palm Springs, CA 92264 | 2006-12-05 |
| 1750399747 | Lee Un A Professional Dental Corp | Dentist | 471 E Tahquitz Cyn Way #221, Palm Springs, CA 92264 | 2006-08-04 |
| 1124051651 | Palm Springs Hearing Aid Center | Specialist | 1555 S. Palm Canyon Dr., Suite D-103, Palm Springs, CA 92264 | 2006-07-08 |
| Find all providers in zip 92264 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| 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. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609277243 | Meng Xu | Naturopath | 2825 E Tahquitz Canyon Way Bldg B, Palm Springs, CA 92262-6906 | 2014-09-15 |
| 1306987508 | Nancy Ann Mazur | Naturopath | 1448 Sierra De Ronda, Palm Springs, CA 92264-9524 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912337 | Kieu Mindy Nguyen | Naturopath | 491 41st St Unit 8, Oakland, CA 94609-2695 | 2020-11-04 |
| 1780285809 | Kimberley Love | Naturopath | 1757 Countryside Dr, Vista, CA 92081-8727 | 2020-11-04 |
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1376140665 | Jasmine Haddad | Naturopath | 502 First St Ste A, Paso Robles, CA 93446-3764 | 2020-10-08 |
| 1295332948 | Elaine Louise Marquez Mchugh | Naturopath | 4874 Meadowbrook Dr, Oceanside, CA 92056-6637 | 2020-10-06 |
| 1629675459 | Christopher Chang | Naturopath | 623 W Duarte Rd Ste A, Arcadia, CA 91007-7337 | 2020-10-05 |
| 1427655463 | Paria Vaziri | Naturopath | 1559 1/2 Reed Ave, San Diego, CA 92109-5361 | 2020-10-02 |
| 1598362527 | Wafaa George Matti | Naturopath | 2696 Pine Glen Ct, El Cajon, CA 92019-3913 | 2020-10-02 |
| 1356948376 | Barbara Ivos | Naturopath | 6202 Friars Rd Unit 304, San Diego, CA 92108-1008 | 2020-10-02 |
| 1649877846 | Brian James Trainor | Naturopath | 3636 5th Ave Ste 300, San Diego, CA 92103-4230 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92264 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.