Active NPI
Jordan Allen, M.S, L.AC.
- Acupuncturist
- San Diego, CA
National Provider Identifier
1225324247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12322
- Practice address
- 1804 Cable St
Suite 'B'
San Diego, CA 92107-3141 - Phone
- (619) 243-5109
- Fax
- (619) 243-5113
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12322 | CA | Primary |
Addresses
Primary practice location
1804 Cable St
Suite 'B'
San Diego, CA 92107-3141
Mailing address
1804 Cable St
Suite 'B'
San Diego, CA 92107-3141
Phone (619) 243-5109
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
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motorpoint Acupuncture Inc. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1225324247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 CABLE ST",
"address_2": "SUITE 'B'",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921073141",
"telephone_number": "619-243-5109",
"fax_number": "619-243-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 CABLE ST",
"address_2": "SUITE 'B'",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921073141",
"telephone_number": "619-243-5109",
"fax_number": "619-243-5113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JORDAN",
"name_prefix": "Mr.",
"credential": "M.S, L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12322",
"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 Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.