Active NPI
Philip Reh, LAC
- Acupuncturist
- Novato, CA
National Provider Identifier
1134728603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18967
- Practice address
- 451 Indian Springs Rd.
Novato, CA 94947-4238 - Phone
- (323) 926-9566
- NPI assigned
- Oct 25, 2020
- Sex
- Male
- 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 | 18967 | CA | Primary |
Addresses
Primary practice location
451 Indian Springs Rd.
Novato, CA 94947-4238
Mailing address
451 Indian Springs Rd.
Novato, CA 94947-4238
Phone (323) 926-9566
Other names 1
- Phil Reh
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | phil@tcmtiger.com | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SS Integrative Medical Services Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1134728603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 INDIAN SPRINGS RD.",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474238",
"telephone_number": "323-926-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 INDIAN SPRINGS RD.",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474238",
"telephone_number": "323-926-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REH",
"first_name": "PHILIP",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-25",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18967",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "phil@tcmtiger.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "451 Indian Springs Rd.",
"city": "Novato",
"state": "CA",
"country_code": "US",
"postal_code": "949474238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PHIL",
"last_name": "REH",
"credential": "LAC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.