Active NPI
Jacob J Wenger
- Acupuncturist
- Alameda, CA
National Provider Identifier
1053591693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 15830
- Practice address
- 1050 Marina Village Pkwy Ste 104
Alameda, CA 94501-1033 - Phone
- (510) 340-1702
- NPI assigned
- Nov 12, 2007
- Sex
- Male
- 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 | 15830 | CA | Primary |
Addresses
Primary practice location
1050 Marina Village Pkwy Ste 104
Alameda, CA 94501-1033
Mailing address
2829 Calhoun St
Alameda, CA 94501-5406
Phone (413) 588-8575
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laprise, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1053591693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 CALHOUN ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945015406",
"telephone_number": "413-588-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 MARINA VILLAGE PKWY STE 104",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011033",
"telephone_number": "510-340-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "JACOB",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-12",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "15830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.