Individual provider Active NPI

Travis Clark Zinner, DACM

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1073180394
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19038 Issued in CA
Practice address
9310 Towne Centre Dr Unit 75
San Diego, CA 92121-3045
Phone
(303) 808-7552
NPI assigned
Jun 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 19038 CA Primary

Addresses

Primary practice location

9310 Towne Centre Dr Unit 75
San Diego, CA 92121-3045

Mailing address

9310 Towne Centre Dr Unit 75
San Diego, CA 92121-3045
Phone (303) 808-7552

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
19038CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Earth Elements Acupuncture, Inc. Acupuncturist Current Accepting new patients

Locations

1571 N Magnolia Ave
Ste 212
El Cajon, CA 92020
Phone (619) 975-2730

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": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1073180394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 TOWNE CENTRE DR UNIT 75",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213045",
            "telephone_number": "303-808-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 TOWNE CENTRE DR UNIT 75",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213045",
            "telephone_number": "303-808-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNER",
        "first_name": "TRAVIS",
        "middle_name": "CLARK",
        "credential": "DACM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19038",
            "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 Jun 6, 2021; 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.