Joan Madeleine Plastino, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

3123 Issued in CA

Practice address

4096 Bridge St Ste 3
Fair Oaks, CA 95628-7160

Phone

(916) 962-1000

Fax

(916) 961-0251

NPI assigned

Jan 8, 2007

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petaluma Acupuncture Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Petaluma, CA
  • NPI 1851768899
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1205984663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SOUTHPOINT BLVD STE 211",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547496",
            "telephone_number": "707-981-7015",
            "fax_number": "707-658-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4096 BRIDGE ST STE 3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287160",
            "telephone_number": "916-962-1000",
            "fax_number": "916-961-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTINO",
        "first_name": "JOAN",
        "middle_name": "MADELEINE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "3123",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "003332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Minhduc Huy Phan, DMD
• Juleigh Pierce
• Jana Pinkley
• Alyssa Nicole Piombo, RDN
• Cheryl Marie Pitts
• Chessley Corey Pleake, RADT
• Polley & Associates (Fair Oaks Chiropractic)
• David William Polley, D.C.
• Potocki Family Chiropractic and Laser Center Inc
• Thaddeus J Potocki, DC

• Acupuncturist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.