Individual provider Active NPI

Lori L Mueller, DAOM, LAC, MBA

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1154595361
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8930 Issued in CA
Practice address
1670 Kettner Blvd
Apt 507
San Diego, CA 92101-2560
Phone
(619) 829-4418
Fax
(619) 421-0434
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8930 CA Primary

Addresses

Primary practice location

1670 Kettner Blvd
Apt 507
San Diego, CA 92101-2560

Mailing address

1670 Kettner Blvd
Apt 507
San Diego, CA 92101-2560
Phone (619) 829-4418

Other names 1

  • Lori L Gritz Former name

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
AC8930CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1154595361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 KETTNER BLVD",
            "address_2": "APT 507",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012560",
            "telephone_number": "619-829-4418",
            "fax_number": "619-421-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 KETTNER BLVD",
            "address_2": "APT 507",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012560",
            "telephone_number": "619-829-4418",
            "fax_number": "619-421-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "DAOM, LAC, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "GRITZ",
            "middle_name": "L",
            "credential": "DAOM, LAC, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 15, 2024; 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.