Individual provider Active NPI

Andrea Beth Damsky, L.AC.

  • Acupuncturist
  • El Cajon, CA
National Provider Identifier
1124227673
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
8654 Issued in CA
Practice address
2160 Fletcher Pkwy
Suite a-3
El Cajon, CA 92020-2139
Phone
(619) 884-7918
Fax
(888) 977-3156
NPI assigned
Jul 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 8654 CA Primary

Addresses

Primary practice location

2160 Fletcher Pkwy
Suite a-3
El Cajon, CA 92020-2139

Mailing address

2160 Fletcher Pkwy
Suite a-3
El Cajon, CA 92020-2139
Phone (619) 884-7918

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
8654CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1124227673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 FLETCHER PKWY",
            "address_2": "SUITE A-3",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202139",
            "telephone_number": "619-884-7918",
            "fax_number": "888-977-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FLETCHER PKWY",
            "address_2": "SUITE A-3",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202139",
            "telephone_number": "619-884-7918",
            "fax_number": "888-977-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSKY",
        "first_name": "ANDREA BETH",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "8654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.