Elisa Marie Kreth, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

10637 Issued in CA

Practice address

12264 El Camino Real
Suite 108
San Diego, CA 92130-3060

Phone

(858) 481-0303

Fax

(858) 481-9797

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1235157884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303060",
            "telephone_number": "858-481-0303",
            "fax_number": "858-481-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303060",
            "telephone_number": "858-481-0303",
            "fax_number": "858-481-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETH",
        "first_name": "ELISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson A. Kreshak, M.D.
• Mary Kreshon, PA-C
• Alexander Jacob Kress, PT, DPT
• Deborah Kress, COTA/L
• Jocelyn Ariana Kressler, PSYD
• Mark Kretz, D.D.S
• Stacy Kreutzer, MS PPS
• Mary C Krewsun, PA
• Holly Kreyche
• Taylor Krickbaum

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.