Active NPI
Benjamin Edward Dierauf, L.AC.
- Acupuncturist
- Walnut Creek, CA
National Provider Identifier
1164578811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 4256
- Practice address
- 2920 Camino Diablo Ste 210C
Walnut Creek, CA 94597-3958 - Phone
- (925) 297-4785
- Fax
- (925) 403-1001
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- 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 | AC 4256 | CA | Primary |
Addresses
Primary practice location
2920 Camino Diablo Ste 210C
Walnut Creek, CA 94597-3958
Mailing address
6966 Shepherd Canyon Rd
Oakland, CA 94611-1539
Phone (925) 297-4785
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 |
|---|---|---|---|
| AC 4256 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1164578811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6966 SHEPHERD CANYON RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111539",
"telephone_number": "925-297-4785",
"fax_number": "925-403-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 CAMINO DIABLO STE 210C",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973958",
"telephone_number": "925-297-4785",
"fax_number": "925-403-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERAUF",
"first_name": "BENJAMIN",
"middle_name": "EDWARD",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 4256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.