Organization Active NPI

Modern Meridians

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1205717758
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MODERN MERIDIANS
Practice address
9474 Kearny Villa Rd Ste 113
San Diego, CA 92126-4596
Phone
(360) 977-0629
NPI assigned
Sep 10, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Ashten Goolsby, LAC, DACMNPI 1467332791
Title
Owner
Phone
(360) 977-0629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

9474 Kearny Villa Rd Ste 113
San Diego, CA 92126-4596

Mailing address

7506 Alonda Way
San Diego, CA 92126-1013
Phone (360) 977-0629

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1205717758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 ALONDA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261013",
            "telephone_number": "360-977-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9474 KEARNY VILLA RD STE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264596",
            "telephone_number": "360-977-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MERIDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "ASHTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-977-0629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "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 Sep 10, 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.

Verify at the official NPI Registry.