Individual provider Active NPI

James Michael Verdi

  • Acupuncturist
  • Chula Vista, CA
National Provider Identifier
1104587492
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19287 Issued in CA
Practice address
821 Kuhn Dr Ste 101
Chula Vista, CA 91914-4508
Phone
(619) 432-2477
Fax
(619) 888-5310
NPI assigned
Jan 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19287 CA Primary

Addresses

Primary practice location

821 Kuhn Dr Ste 101
Chula Vista, CA 91914-4508

Mailing address

1013 Agate St Apt a
San Diego, CA 92109-1279
Phone (619) 920-3629

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
19287CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Core Acupuncture, Inc. Acupuncturist Current Accepting new patients
Joel'S Massage & Holistic Center Acupuncturist Past Accepting new patients
SD Health and Acupuncture Acupuncturist PastSince Jan 17, 2022 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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1104587492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 AGATE ST APT A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091279",
            "telephone_number": "619-920-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KUHN DR STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144508",
            "telephone_number": "619-432-2477",
            "fax_number": "619-888-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDI",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.