Full Moon Acupuncture

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FULL MOON ACUPUNCTURE

Practice address

440 Grand Ave Ste 401
Oakland, CA 94610-5032

Phone

(415) 235-5092

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Traci Vogel Moren, L.AC.NPI 1154725539

Title

Owner

Phone

(415) 235-5092

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Traci Vogel Moren, L.AC.

  • Acupuncturist
  • Berkeley, CA
  • NPI 1154725539
  NPD Authorized official

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1144875865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SPAULDING AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031628",
            "telephone_number": "415-235-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 GRAND AVE STE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946105032",
            "telephone_number": "415-235-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL MOON ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "MOREN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "VOGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-235-5092",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "acusimple.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "440 Grand Ave Ste 401",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946105032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reri Fujimura
• Glenn M Fujinaka, D.D.S.
• Trevor Fujinaka, D.D.S., M.S.D.
• Luseane Fukofuka
• Anita Fukumoto, PHARMD
• Full Spectrum Birthworkers LLC
• Joanna Full, M.S.
• Kaitlin Oshu-Kwon Fuller, MS
• Kristina Fuller, MOTR/L
• Marcia Fuller

• Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.