Individual provider Active NPI

Jacqueline Arellano

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1104129485
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18532 Issued in CA
Practice address
3505 Camino del Rio S Ste 338
San Diego, CA 92108-4017
Phone
(619) 322-2713
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2345-I CA
Acupuncturist 171100000X 18532 CA Primary

Addresses

Primary practice location

3505 Camino del Rio S Ste 338
San Diego, CA 92108-4017

Mailing address

4492 Estrella Ave Apt 3
San Diego, CA 92115-4633
Phone (619) 519-4131

Other practice location 1

4492 Estrella Ave Apt 3
San Diego, CA 92115-4633
Phone (619) 519-4131

Other practice location 2

4125 Alpha St
E
San Diego, CA 92113-4544
Phone (619) 668-4200

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

LicenseStateTypeSpecialty
2345-ICAMDAddiction (Substance Use Disorder) Counselor
18532CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Past Accepting new patients
The Inn Spot Community Acupuncture & Stress Relief Lounge Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1104129485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4492 ESTRELLA AVE APT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154633",
            "telephone_number": "619-519-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CAMINO DEL RIO S STE 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084017",
            "telephone_number": "619-322-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4492 Estrella Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921154633",
            "country_code": "US",
            "telephone_number": "619-519-4131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 Alpha St",
            "address_2": "E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921134544",
            "country_code": "US",
            "telephone_number": "619-668-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2345-I",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.