Provider Demographics
NPI:1013432756
Name:NACCARATO, C. JUSTICE (DACM, MSTOM)
Entity type:Individual
Prefix:DR
First Name:C. JUSTICE
Middle Name:
Last Name:NACCARATO
Suffix:
Gender:F
Credentials:DACM, MSTOM
Other - Prefix:DR
Other - First Name:CASEY
Other - Middle Name:JUSTICE
Other - Last Name:NACCARATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DACM, MSTOM
Mailing Address - Street 1:4225 OCEANSIDE BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3473
Mailing Address - Country:US
Mailing Address - Phone:760-688-8054
Mailing Address - Fax:
Practice Address - Street 1:4225 OCEANSIDE BLVD STE H
Practice Address - Street 2:#344
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-3473
Practice Address - Country:US
Practice Address - Phone:760-688-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174H00000XOther Service ProvidersHealth Educator