Individual provider Active NPI

Daniel Antonio Rola, L.AC.

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1023545332
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17630 Issued in CA
Practice address
303 Potrero St Ste 42-306
Santa Cruz, CA 95060-2780
Phone
(831) 459-6762
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17630 CA Primary

Addresses

Primary practice location

303 Potrero St Ste 42-306
Santa Cruz, CA 95060-2780

Mailing address

1819 Mission St
Santa Cruz, CA 95060-5213
Phone (831) 234-7988

Other practice location 1

317 Potrero St Ste C
Santa Cruz, CA 95060-7611
Phone (831) 425-9500

Other practice location 2

1819 Mission St
Santa Cruz, CA 95060-5213
Phone (831) 234-7988

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

LicenseStateTypeSpecialty
AC17630CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Medxcare Health Professionals Acupuncturist PastSince Jul 4, 2023 Accepting new patients
Santa Cruz Core Fitness and Rehab Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023545332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605213",
            "telephone_number": "831-234-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 POTRERO ST STE 42-306",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602780",
            "telephone_number": "831-459-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Potrero St Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950607611",
            "country_code": "US",
            "telephone_number": "831-425-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 Mission St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950605213",
            "country_code": "US",
            "telephone_number": "831-234-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLA",
        "first_name": "DANIEL",
        "middle_name": "ANTONIO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.