Active NPI
Carrol D Mauro, L.AC.
- Acupuncturist
- Oakland, CA
National Provider Identifier
1164087623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11546
- Practice address
- 5737 Thornhill Dr
Oakland, CA 94611-2144 - Phone
- (510) 339-0767
- NPI assigned
- May 9, 2019
- 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 | 11546 | CA | Primary |
Addresses
Primary practice location
5737 Thornhill Dr
Oakland, CA 94611-2144
Mailing address
7644 Surrey LN
Oakland, CA 94605-3815
Phone (510) 710-0384
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1164087623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7644 SURREY LN",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946053815",
"telephone_number": "510-710-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5737 THORNHILL DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112144",
"telephone_number": "510-339-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURO",
"first_name": "CARROL",
"middle_name": "D",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.