Organization Active NPI

Pivot Acupuncture & Integrative Health Inc

  • Acupuncturist
  • Vallejo, CA
National Provider Identifier
1073093472
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16814 Issued in CA
Legal business name
PIVOT ACUPUNCTURE & INTEGRATIVE HEALTH INC
Practice address
480 Redwood St Ste 14
Vallejo, CA 94590-2958
Phone
(707) 653-0495
Fax
(707) 638-0384
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Shawne J Lopes, LAC
Title
Ceo
Phone
(707) 653-0495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC16814 CA Primary

Addresses

Primary practice location

480 Redwood St Ste 14
Vallejo, CA 94590-2958

Mailing address

480 Redwood St Ste 14
Vallejo, CA 94590-2958
Phone (707) 653-0495

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1073093472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST STE 14",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-653-0495",
            "fax_number": "707-638-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST STE 14",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-653-0495",
            "fax_number": "707-638-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT ACUPUNCTURE & INTEGRATIVE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "SHAWNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-653-0495",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.