Active NPI
Kathleen Leigh Manza, LAC
- Acupuncturist
- Santa Cruz, CA
National Provider Identifier
1144713330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18118
- Practice address
- 2222 E Cliff Dr Ste 216
Santa Cruz, CA 95062-4739 - Phone
- (415) 259-9451
- NPI assigned
- Jun 12, 2018
- 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 | 18118 | CA | Primary |
Addresses
Primary practice location
2222 E Cliff Dr Ste 216
Santa Cruz, CA 95062-4739
Mailing address
400 Quail Hollow Cir
Felton, CA 95018-9426
Phone (415) 259-9451
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 |
|---|---|---|---|
| 18118 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1144713330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 QUAIL HOLLOW CIR",
"city": "FELTON",
"state": "CA",
"postal_code": "950189426",
"telephone_number": "415-259-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E CLIFF DR STE 216",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624739",
"telephone_number": "415-259-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZA",
"first_name": "KATHLEEN",
"middle_name": "LEIGH",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.