Active NPI
Noel Kaori Tarver, L.AC.
- Acupuncturist
- San Diego, CA
National Provider Identifier
1225300809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 14052
- Practice address
- 10330 Friars Rd
San Diego, CA 92120-2341 - Phone
- (808) 234-9551
- NPI assigned
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU 1021 | HI | |
| Acupuncturist | 171100000X | AC 14052 | CA | Primary |
Addresses
Primary practice location
10330 Friars Rd
San Diego, CA 92120-2341
Mailing address
4388 Aragon Way
San Diego, CA 92115-5912
Phone (808) 234-9551
Other names 1
- Kaori Watanabe
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 14052 | CA | MD | Acupuncturist |
| ACU 1021 | HI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients |
Interoperability endpoints
- ntarver76514@scrippshlth.medalliesdirect.net
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1225300809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4388 ARAGON WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921155912",
"telephone_number": "808-234-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 FRIARS RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202341",
"telephone_number": "808-234-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "NOEL",
"middle_name": "KAORI",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU 1021",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 14052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAORI",
"last_name": "WATANABE",
"credential": "L.AC.",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.