Mandala Medicine, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

832 Issued in NM

Legal business name

MANDALA MEDICINE, LLC

Practice address

618 Paseo de Peralta Ste a
Santa Fe, NM 87501-1984

Phone

(505) 795-6164

Fax

(505) 466-4697

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Maya Yu, DOMNPI 1083744080

Title

Doctor of Oriental Medicine

Phone

(505) 795-6164

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maya Yu, D.O.M.

  • Acupuncturist
  • Santa Fe, NM
  • NPI 1083744080
  NPD (past) Authorized official
• Harrison Hook, RPP

  • Specialist
  • Santa Fe, NM
  • NPI 1427205368
  NPD (past)

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1124332010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N GUADALUPE ST # 222",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011868",
            "telephone_number": "505-795-6164",
            "fax_number": "505-466-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PASEO DE PERALTA STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011984",
            "telephone_number": "505-795-6164",
            "fax_number": "505-466-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "505-795-6164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "832",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean-Philippe Malaty
• Alyshia Angel Maldonado
• Dimitri Yerik Maloney, CSW
• Paul Anthony Maloney, MSPT
• Stephanie Malouf
• George Mandel, DOM
• Shiloh Dawn Mangino
• Marcella Manker
• Ashily A Mann
• Leah M Manning, CSW

• Acupuncturist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.