Active NPI
Amy M Petrarca, RN, L.AC.
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1225220932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11668
- Practice address
- 650 Florida St # D
San Francisco, CA 94110-8200 - Phone
- (415) 846-0963
- NPI assigned
- Aug 16, 2007
- Last updated
- Sep 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 564189 | CA | |
| Acupuncturist | 171100000X | 11668 | CA | Primary |
Addresses
Primary practice location
650 Florida St # D
San Francisco, CA 94110-8200
Mailing address
PO Box 720068
San Francisco, CA 94172-0068
Phone (415) 846-0963
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 564189 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biaohealth | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- San Francisco, CA
- NPI 1265866735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378080000000",
"number": "1225220932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720068",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941720068",
"telephone_number": "415-846-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FLORIDA ST # D",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941108200",
"telephone_number": "415-846-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRARCA",
"first_name": "AMY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RN, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2013-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "564189",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11668",
"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 Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.