NPIMap

Organization Active NPI

Wellspring Acupuncture

  • Acupuncturist
  • Mill Valley, CA
National Provider Identifier
1033549530
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15234 Issued in CA
Legal business name
WELLSPRING ACUPUNCTURE
Practice address
45 Camino Alto Ste 204
Mill Valley, CA 94941-2935
Phone
(415) 968-9294
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Daniel Geren, L.AC.NPI 1902227150
Title
Ceo
Phone
(415) 827-5375

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: 193200000X MULTI-SPECIALTY GROUP 171100000X AC15234 CA Primary

Addresses

Primary practice location

45 Camino Alto Ste 204
Mill Valley, CA 94941-2935

Mailing address

5 Weatherly Dr Apt 209
Mill Valley, CA 94941-3287
Phone (415) 968-9294

National Provider Directory

National Provider Directory

Locations

45 Camino Alto
Ste 204
Mill Valley, CA 94941
Phone (415) 383-2468

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": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1033549530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WEATHERLY DR APT 209",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413287",
            "telephone_number": "415-968-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CAMINO ALTO STE 204",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412935",
            "telephone_number": "415-968-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "GEREN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-827-5375",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.