Active NPI
Kelsey Beckman
- Acupuncturist
- San Diego, CA
National Provider Identifier
1053728915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17848
- Practice address
- 5677 Oberlin Dr
St 106
San Diego, CA 92121-1740 - Phone
- (858) 457-8419
- Fax
- (858) 457-0670
- NPI assigned
- Jul 11, 2014
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 17848 | CA | Primary |
| Massage Therapist | 225700000X | 58164 | CA |
Addresses
Primary practice location
5677 Oberlin Dr
St 106
San Diego, CA 92121-1740
Mailing address
5677 Oberlin Dr
St 106
San Diego, CA 92121-1740
Phone (858) 457-8419
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 |
|---|---|---|---|
| 58164 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Yvonne Acupuncture Inc | Acupuncturist | Past | Accepting new patients |
| Comprehensive Therapy Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- San Diego, CA
- NPI 1285096545
-
- Physical Therapist
- San Diego, CA
- NPI 1750326302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1053728915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5677 OBERLIN DR",
"address_2": "ST 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211740",
"telephone_number": "858-457-8419",
"fax_number": "858-457-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5677 OBERLIN DR",
"address_2": "ST 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211740",
"telephone_number": "858-457-8419",
"fax_number": "858-457-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17848",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "58164",
"primary": false
}
],
"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 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.