Active NPI
Rasa B Sammy, L.AC.
- Acupuncturist
- Davis, CA
National Provider Identifier
1164510822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC6704
- Practice address
- 1460 Drew Ave
Suite 300
Davis, CA 95618-4856 - Phone
- (530) 758-4474
- Fax
- (530) 758-1880
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | AC6704 | CA | Primary |
Addresses
Primary practice location
1460 Drew Ave
Suite 300
Davis, CA 95618-4856
Mailing address
1460 Drew Ave
Suite 300
Davis, CA 95618-4856
Phone (530) 758-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC6704 | Other | CA | LIC. NUMBER |
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 |
|---|---|---|---|
| AC6704 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Restorative Health | 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 and National Provider Directory roles.
-
- Pain Medicine Physician
- Davis, CA
- NPI 1528026861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1164510822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 DREW AVE",
"address_2": "SUITE 300",
"city": "DAVIS",
"state": "CA",
"postal_code": "956184856",
"telephone_number": "530-758-4474",
"fax_number": "530-758-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 DREW AVE",
"address_2": "SUITE 300",
"city": "DAVIS",
"state": "CA",
"postal_code": "956184856",
"telephone_number": "530-758-4474",
"fax_number": "530-758-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMY",
"first_name": "RASA",
"middle_name": "B",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC6704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC. NUMBER",
"identifier": "AC6704",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.