Active NPI
Amberlee Gustafson, DTCM, L.AC
- Acupuncturist
- Santa Cruz, CA
National Provider Identifier
1164145413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19212
- Practice address
- 981 35TH Ave
Santa Cruz, CA 95062-4320 - Phone
- (707) 616-8215
- NPI assigned
- Sep 21, 2022
- 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 | 19212 | CA | Primary |
Addresses
Primary practice location
981 35TH Ave
Santa Cruz, CA 95062-4320
Mailing address
981 35TH Ave
Santa Cruz, CA 95062-4320
Phone (707) 616-8215
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 |
|---|---|---|---|
| 19212 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1164145413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 35TH AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624320",
"telephone_number": "707-616-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 35TH AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624320",
"telephone_number": "707-616-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAFSON",
"first_name": "AMBERLEE",
"name_prefix": "Miss",
"credential": "DTCM, L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19212",
"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 Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.