Anna Liza Van Dine, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16589 Issued in CA

Practice address

2801 Mission St. Ext
Suite 2805
Santa Cruz, CA 95060

Phone

(855) 946-9264

Fax

(855) 826-3463

NPI assigned

May 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anna Liza Endeno Estropia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1023495629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 17TH AVE # 112",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651808",
            "telephone_number": "855-946-9264",
            "fax_number": "855-826-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSION ST. EXT",
            "address_2": "SUITE 2805",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95060",
            "telephone_number": "855-946-9264",
            "fax_number": "855-826-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DINE",
        "first_name": "ANNA LIZA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-03",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16589",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "28538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA LIZA",
            "last_name": "ESTROPIA",
            "middle_name": "ENDENO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Del Socorro Valenzuela I
• Bruna Valerio de Lima
• Narmada Valeti, DDS
• Alexa Valladolid
• Joseph Salvador Valle, D.D.S.
• John A Van Every, O.D.
• Matthew Van Nuys
• Michelle M. Van Ooy, MD
• Ronilo Van Tassel
• Kory Van Unen, LCSW

• Acupuncturist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.