Organization Active NPI

Mandala Acupuncture Prof. Corp.

  • Acupuncturist
  • Encinitas, CA
National Provider Identifier
1033556899
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10913 Issued in CA
Legal business name
MANDALA ACUPUNCTURE PROF. CORP.
Practice address
451 La Veta Ave
Encinitas, CA 92024-2014
Phone
(760) 704-7712
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Andrea Werner Miliotis, L.AC.NPI 1063858496
Title
Licensed Acupuncturist
Phone
(760) 704-7712

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 AC 10913 CA Primary

Addresses

Primary practice location

451 La Veta Ave
Encinitas, CA 92024-2014

Mailing address

239 Coneflower St
Encinitas, CA 92024-3302
Phone (760) 704-7712

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1033556899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CONEFLOWER ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243302",
            "telephone_number": "760-704-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 LA VETA AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242014",
            "telephone_number": "760-704-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA ACUPUNCTURE PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "MILIOTIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "WERNER",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "760-704-7712",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.