Individual provider Active NPI

Deanna Damasen, LAC

  • Acupuncturist
  • Benicia, CA
National Provider Identifier
1083092191
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16418 Issued in CA
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

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 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

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.

Verify at the official NPI Registry.