Organization Active NPI

Poke-Aha-Ntas Acupuncture, a Professional Corporation

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1053235895
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
POKE-AHA-NTAS ACUPUNCTURE, A PROFESSIONAL CORPORATION
Practice address
5755 Oberlin Dr Ste 316a
San Diego, CA 92121-1786
Phone
(619) 800-8492
NPI assigned
Aug 5, 2026
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Dr. Lara Danielle Grossmith, DACCHM, L.AC.NPI 1710801543
Title
President
Phone
(619) 800-8492

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
Acupuncturist 171100000X Primary

Addresses

Primary practice location

5755 Oberlin Dr Ste 316a
San Diego, CA 92121-1786

Mailing address

7740 Parkway Dr Unit 207
La Mesa, CA 91942-4611

National Provider Directory

National Provider Directory

Locations

5755 Oberlin Dr
Ste 316A
San Diego, CA 92121
Phone (619) 800-8492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1053235895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 PARKWAY DR UNIT 207",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 316A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211786",
            "telephone_number": "619-800-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKE-AHA-NTAS ACUPUNCTURE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "GROSSMITH",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-800-8492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACCHM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Aug 5, 2026; 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.