Individual provider Active NPI

Alexandra Marian Berger Feld, DACM, L.AC

  • Acupuncturist
  • Carlsbad, CA
National Provider Identifier
1063979268
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18028 Issued in CA
Practice address
630 Grand Ave Ste C
Carlsbad, CA 92008-2364
Phone
(513) 828-8823
NPI assigned
Feb 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18028 CA Primary

Addresses

Primary practice location

630 Grand Ave Ste C
Carlsbad, CA 92008-2364

Mailing address

630 Grand Ave Ste C
Carlsbad, CA 92008-2364
Phone (513) 828-8823

Other practice location 1

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

Other practice location 2

2646 Madison St
Carlsbad, CA 92008-1721
Phone (513) 828-8823

Other names 1

  • Alexandra Honnerlaw Former name

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
18028CAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1063979268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 GRAND AVE STE C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082364",
            "telephone_number": "513-828-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 GRAND AVE STE C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082364",
            "telephone_number": "513-828-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 National Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921132113",
            "country_code": "US",
            "telephone_number": "619-515-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2646 Madison St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920081721",
            "country_code": "US",
            "telephone_number": "513-828-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER FELD",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "HONNERLAW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.