Active NPI
Tiffany Cooley, L.AC., CFMP
- Acupuncturist
- San Diego, CA
National Provider Identifier
1053539080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16997
- Practice address
- 2405 Morena Blvd
San Diego, CA 92110-4139 - Phone
- (619) 957-3303
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023682 | WA | |
| Acupuncturist | 171100000X | 16997 | CA | Primary |
Addresses
Primary practice location
2405 Morena Blvd
San Diego, CA 92110-4139
Mailing address
2405 Morena Blvd
San Diego, CA 92110-4139
Phone (619) 957-3303
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 523981-06 | Other | WA | NATIONAL CERTIFICATION |
| 200417 | Other | WA | AMTA MEMBER |
| MA00023682 | Other | WA | MASSAGE LICENSE |
| 16997 | Other | CA | CALIFORNIA ACUPUNCTURE LICENSE |
| 217345 | Other | WA | LABOR AND INDUSTRIES |
| 602691997 | Other | WA | UBI NUMBER |
Other names 1
- Nalu Cooley
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00023682 | WA | MD | Massage Therapist |
| 16997 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1053539080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 MORENA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104139",
"telephone_number": "619-957-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 MORENA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104139",
"telephone_number": "619-957-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "TIFFANY",
"credential": "L.AC., CFMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023682",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION",
"identifier": "523981-06",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMTA MEMBER",
"identifier": "200417",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE",
"identifier": "MA00023682",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA ACUPUNCTURE LICENSE",
"identifier": "16997",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "217345",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI NUMBER",
"identifier": "602691997",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NALU",
"last_name": "COOLEY",
"credential": "L.AC., CFMP",
"code": "5",
"type": "Other Name"
}
]
}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 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.