Active NPI
Lauren E Mendez, L.AC.
- Acupuncturist
- San Anselmo, CA
National Provider Identifier
1093228488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17766
- Practice address
- 607 San Anselmo Ave
San Anselmo, CA 94960-2615 - Phone
- (415) 515-6857
- NPI assigned
- Nov 8, 2017
- 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 | 17766 | CA | Primary |
Addresses
Primary practice location
607 San Anselmo Ave
San Anselmo, CA 94960-2615
Mailing address
142 Woodside Dr
San Anselmo, CA 94960-1336
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17766 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1093228488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 WOODSIDE DR",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 SAN ANSELMO AVE",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949602615",
"telephone_number": "415-515-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "LAUREN",
"middle_name": "E",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Anselmo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.