Organization Active NPI

Tidal Acupuncture Inc.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1003675299
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TIDAL ACUPUNCTURE INC.
Practice address
1835 El Cajon Blvd Ste a
San Diego, CA 92103-2591
Phone
(619) 633-7275
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rachel Eusebio, DACMNPI 1588438089
Title
Co-Owner
Phone
(775) 720-6315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1835 El Cajon Blvd Ste a
San Diego, CA 92103-2591

Mailing address

3521 Louisiana St
San Diego, CA 92104-4022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1003675299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LOUISIANA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 EL CAJON BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032591",
            "telephone_number": "619-633-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "EUSEBIO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "775-720-6315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.