Active NPI
Tamara Wolfson, LAC
- Acupuncturist
- Fairfax, CA
National Provider Identifier
1134537723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 9117
- Practice address
- 85 Bolinas Rd Ste 7
Fairfax, CA 94930-1626 - Phone
- (415) 378-1666
- NPI assigned
- Jul 27, 2014
- Last updated
- Jul 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 9117 | CA | Primary |
Addresses
Primary practice location
85 Bolinas Rd Ste 7
Fairfax, CA 94930-1626
Mailing address
85 Bolinas Rd Ste 7
Fairfax, CA 94930-1626
Phone (415) 378-1666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9117 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406419200000",
"number": "1134537723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BOLINAS RD STE 7",
"city": "FAIRFAX",
"state": "CA",
"postal_code": "949301626",
"telephone_number": "415-378-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BOLINAS RD STE 7",
"city": "FAIRFAX",
"state": "CA",
"postal_code": "949301626",
"telephone_number": "415-378-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSON",
"first_name": "TAMARA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-27",
"last_updated": "2014-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "9117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.