Active NPI
Rachele Lam, LAC, DACM
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1093311086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18983
- Practice address
- 291 Connecticut St
San Francisco, CA 94107-2402 - Phone
- (415) 669-0932
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 18983 | CA | Primary |
Addresses
Primary practice location
291 Connecticut St
San Francisco, CA 94107-2402
Mailing address
2583 Hampton Ave
Redwood City, CA 94061-2539
Phone (917) 670-4107
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EHR |
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 |
|---|---|---|---|
| 18983 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountyn Acupuncture Inc | Acupuncturist | Current | Accepting new patients |
Locations
22 Battery St
Ste 802
San Francisco, CA 94111
Phone (415) 772-0997
291 Connecticut St
San Francisco, CA 94107
Phone (415) 669-0932
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.
-
- Acupuncturist
- San Francisco, CA
- NPI 1336737261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1093311086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2583 HAMPTON AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940612539",
"telephone_number": "917-670-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 CONNECTICUT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072402",
"telephone_number": "415-669-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "RACHELE",
"name_prefix": "Dr.",
"credential": "LAC, DACM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18983",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EHR",
"affiliation": "N",
"address_1": "22 Battery St Ste 802",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941115522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.