NPIMap

Organization Active NPI

Cinnabar Acupuncture Clinic & Spa

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1134498272
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
10550 Issued in CA
Legal business name
CINNABAR ACUPUNCTURE CLINIC & SPA
Practice address
10432 Reserve Dr
Suite 111
San Diego, CA 92127-3509
Phone
(858) 312-5600
Fax
(858) 312-5636
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Judith Goulart Andrews, L.AC, DAOM
Title
Acupuncturist
Phone
(858) 312-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 10550 CA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 10551 CA

Addresses

Primary practice location

10432 Reserve Dr
Suite 111
San Diego, CA 92127-3509

Mailing address

10432 Reserve Dr
Suite 111
San Diego, CA 92127-3509
Phone (858) 312-5600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1134498272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 RESERVE DR",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273509",
            "telephone_number": "858-312-5600",
            "fax_number": "858-312-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 RESERVE DR",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273509",
            "telephone_number": "858-312-5600",
            "fax_number": "858-312-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINNABAR ACUPUNCTURE CLINIC & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "GOULART",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "858-312-5600",
        "authorized_official_credential": "L.AC, DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10550",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10551",
            "primary": false
        }
    ],
    "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 Dec 19, 2011; 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.