Active NPI
Deanna Damasen, LAC
- Acupuncturist
- Benicia, CA
National Provider Identifier
1083092191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16418
- Practice address
- 827 1St St
Benicia, CA 94510-3201 - Phone
- (707) 280-5193
- NPI assigned
- May 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 16418 | CA | Primary |
Addresses
Primary practice location
827 1St St
Benicia, CA 94510-3201
Mailing address
1425 Hale St
Vallejo, CA 94591-4133
Phone (707) 280-5193
Other names 1
- Deanna Santillan
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": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1083092191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 HALE ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945914133",
"telephone_number": "707-280-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 1ST ST",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103201",
"telephone_number": "707-280-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMASEN",
"first_name": "DEANNA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "SANTILLAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.