Individual provider Active NPI

Samantha Ostergaard, L.AC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1164811907
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15428 Issued in CA
Practice address
340 Page St Apt 207
San Francisco, CA 94102-5662
Phone
(415) 260-5923
NPI assigned
Jan 16, 2015
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15428 CA Primary

Addresses

Primary practice location

340 Page St Apt 207
San Francisco, CA 94102-5662

Mailing address

340 Page St Apt 207
San Francisco, CA 94102-5662
Phone (415) 260-5923

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
AC15428CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1164811907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PAGE ST APT 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025662",
            "telephone_number": "415-260-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PAGE ST APT 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025662",
            "telephone_number": "415-260-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERGAARD",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.