Individual provider Active NPI

Walter Homberg, L.AC.

  • Acupuncturist
  • Martinez, CA
National Provider Identifier
1063149672
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19436 Issued in CA
Practice address
211 Foster St
Martinez, CA 94553-1029
Phone
(925) 812-4590
NPI assigned
Aug 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19436 CA Primary

Addresses

Primary practice location

211 Foster St
Martinez, CA 94553-1029

Mailing address

901 Brown St
Martinez, CA 94553-2574
Phone (925) 812-4590

Other practice location 1

1399 Ygnacio Valley Rd Ste 32
Walnut Creek, CA 94598-2861
Phone (925) 812-4590

Other practice location 2

95 Montgomery Dr Ste 112
Santa Rosa, CA 95404-6617
Phone (707) 867-6964

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

LicenseStateTypeSpecialty
19436CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atom Acupuncture Inc. Acupuncturist CurrentSince Aug 7, 2022 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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1063149672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BROWN ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532574",
            "telephone_number": "925-812-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FOSTER ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945531029",
            "telephone_number": "925-812-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 Ygnacio Valley Rd Ste 32",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982861",
            "country_code": "US",
            "telephone_number": "925-812-4590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Montgomery Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954046617",
            "country_code": "US",
            "telephone_number": "707-867-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMBERG",
        "first_name": "WALTER",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.