Active NPI
Peter John Meaden, L.AC., DIPL. O.M.
- Acupuncturist
- San Diego, CA
National Provider Identifier
1063602415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11292
- Practice address
- 2515 Camino del Rio S Ste 220
San Diego, CA 92108-3715 - Phone
- (619) 993-6897
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 11292 | CA | Primary |
Addresses
Primary practice location
2515 Camino del Rio S Ste 220
San Diego, CA 92108-3715
Mailing address
2515 Camino del Rio S Ste 220
San Diego, CA 92108-3715
Phone (619) 993-6897
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 |
|---|---|---|---|
| 11292 | CA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1063602415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083715",
"telephone_number": "619-993-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083715",
"telephone_number": "619-993-6897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADEN",
"first_name": "PETER",
"middle_name": "JOHN",
"credential": "L.AC., DIPL. O.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11292",
"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 Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.