Active NPI
Jessica Marie Boyer, DACM
- Acupuncturist
- Chula Vista, CA
National Provider Identifier
1003596909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19768
- Practice address
- 1415 Ridgeback Rd Ste 6
Chula Vista, CA 91910-6984 - Phone
- (619) 356-0259
- NPI assigned
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 19768 | CA | Primary |
Addresses
Primary practice location
1415 Ridgeback Rd Ste 6
Chula Vista, CA 91910-6984
Mailing address
1037 Robinson Ave
San Diego, CA 92103-4423
Phone (619) 654-7363
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1003596909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 ROBINSON AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034423",
"telephone_number": "619-654-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 RIDGEBACK RD STE 6",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106984",
"telephone_number": "619-356-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DACM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.