Grace Reego, DACM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

6786 Issued in CA

Practice address

4180 La Jolla Village Dr
La Jolla, CA 92037-1402

Phone

(866) 277-2659

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1194559955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371402",
            "telephone_number": "866-277-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371402",
            "telephone_number": "866-277-2659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Hornblend St Ste E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921094095",
            "country_code": "US",
            "telephone_number": "916-704-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEGO",
        "first_name": "GRACE",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "6786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Reddy, MD
• David C. Redfield, M.D.
• Kristie Lynn Reed, PHD
• William Henry Reed, MD
• Susan Reeder, LCSW
• Robert A Rees, DDS
• Regents Dental Group
• Regents of the University of California
• Regents of the University of California
• Regents of the University of California

• Acupuncturist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.