Magali S Brecke, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16670 Issued in CA

Practice address

1040 Mystery Spot Rd
Santa Cruz, CA 95065-9660

Phone

(619) 569-7908

NPI assigned

Sep 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1154936623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MYSTERY SPOT RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950659660",
            "telephone_number": "619-569-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MYSTERY SPOT RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950659660",
            "telephone_number": "619-569-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKE",
        "first_name": "MAGALI",
        "middle_name": "S",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Gabrielle Bravo
• Gisela Bravo
• Patricia Bravo
• Kelsey Bravos
• Diane Elizabeth Brayman, LCSW
• Virginia Claire Breedlove
• Lynn Kono Bregman, PA-C
• Steven Bregman
• Andrea Berkemeier Brelje, MD
• Kristie Marie Brenda

• Acupuncturist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.