Individual provider Active NPI

Carla Beryl McClure, L.AC.; OMD; DIPL.OM

  • Acupuncturist
  • Truckee, CA
National Provider Identifier
1073834297
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13724 Issued in CA
Practice address
12710 Northwoods Blvd Ste 6
Truckee, CA 96161-6395
Phone
(530) 386-4851
Fax
(530) 562-4652
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2012 NV
Acupuncturist 171100000X 13724 CA Primary

Addresses

Primary practice location

12710 Northwoods Blvd Ste 6
Truckee, CA 96161-6395

Mailing address

PO Box 3962
Truckee, CA 96160-3962
Phone (530) 386-4851

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

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1073834297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3962",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961603962",
            "telephone_number": "530-386-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 NORTHWOODS BLVD STE 6",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961616395",
            "telephone_number": "530-386-4851",
            "fax_number": "530-562-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "CARLA",
        "middle_name": "BERYL",
        "credential": "L.AC.; OMD; DIPL.OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "2012",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.