Individual provider Active NPI

Cheryl Elizabeth Warnke, L.AC., DIPL. AC.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1164450805
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4590 Issued in CA
Practice address
4542 Ruffner St
Suite 130
San Diego, CA 92111-2237
Phone
(858) 576-7243
Fax
(858) 576-1009
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC4590 CA Primary

Addresses

Primary practice location

4542 Ruffner St
Suite 130
San Diego, CA 92111-2237

Mailing address

4542 Ruffner St
Suite 130
San Diego, CA 92111-2237
Phone (858) 576-7243

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

LicenseStateTypeSpecialty
AC4590CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Sage Acupuncture Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1164450805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 RUFFNER ST",
            "address_2": "SUITE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112237",
            "telephone_number": "858-576-7243",
            "fax_number": "858-576-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 RUFFNER ST",
            "address_2": "SUITE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112237",
            "telephone_number": "858-576-7243",
            "fax_number": "858-576-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNKE",
        "first_name": "CHERYL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.AC., DIPL. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2012; 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.