Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Center for Functional & Integrative Medicine, Inc

Organization Family Medicine Physician · NPI 1518138254

Center for Functional & Integrative Medicine, Inc is a Family Medicine Physician in Cameron Park, California. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3104 Ponte Morino Dr Ste 110
Cameron Park, CA 95682-8277
Phone: (530) 626-8300
Fax: (530) 626-7617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1518138254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Holthouse — Ceo · (530) 306-2997
NPI enumeratedMarch 21, 2008
Last updated in NPPESNovember 25, 2008
Mailing address3104 Ponte Morino Dr, Suite 110, Cameron Park, CA 95682-8277

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