Active NPI
Theresa Kuni Ellithorpe, L.AC.
- Acupuncturist
- San Diego, CA
National Provider Identifier
1043340037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 6050
- Practice address
- 2304 San Diego Ave.
Suite C
San Diego, CA 92110 - Phone
- (619) 200-5280
- Fax
- (619) 291-9242
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 6050 | CA | Primary |
Addresses
Primary practice location
2304 San Diego Ave.
Suite C
San Diego, CA 92110
Mailing address
P.O. Box 81603
San Diego, CA 92138
Phone (619) 291-2462
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1043340037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 81603",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92138",
"telephone_number": "619-291-2462",
"fax_number": "619-291-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 SAN DIEGO AVE.",
"address_2": "SUITE C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "619-200-5280",
"fax_number": "619-291-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLITHORPE",
"first_name": "THERESA",
"middle_name": "KUNI",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "6050",
"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 Oct 22, 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.