Active NPI
Laura Metzdorff, L.AC.
- Acupuncturist
- Walnut Creek, CA
National Provider Identifier
1003133794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13262
- Practice address
- 1372 N Main St
Ste 204
Walnut Creek, CA 94596-4692 - Phone
- (925) 280-6026
- NPI assigned
- Apr 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 13262 | CA | Primary |
Addresses
Primary practice location
1372 N Main St
Ste 204
Walnut Creek, CA 94596-4692
Mailing address
1372 N Main St
Ste 204
Walnut Creek, CA 94596-4692
Phone (925) 280-6026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13262 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1003133794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1372 N MAIN ST",
"address_2": "STE 204",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964692",
"telephone_number": "925-280-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 N MAIN ST",
"address_2": "STE 204",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964692",
"telephone_number": "925-280-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZDORFF",
"first_name": "LAURA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.