Sage Traditions Acupuncture Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SAGE TRADITIONS ACUPUNCTURE INC

Practice address

201 Palm Ave Ste 2
Imperial Beach, CA 91932-1018

Phone

(619) 392-0937

Fax

(619) 565-2288

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Robert Bruce Stewart, L.AC.NPI 1447356613

Title

Chief Executive Officer

Phone

(619) 392-0937

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Bruce Stewart, L.AC.

  • Acupuncturist
  • Imperial Beach, CA
  • NPI 1447356613
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1235960329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 7TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322106",
            "telephone_number": "619-392-0937",
            "fax_number": "619-565-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PALM AVE STE 2",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321018",
            "telephone_number": "619-392-0937",
            "fax_number": "619-565-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE TRADITIONS ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-392-0937",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel David Esparza Rios
• Amanda Renee Robinson, DDS
• Michael Anthony Rogers
• Matthew Alan Rogowski, RPT
• Dorothy Mae Rumsey, MARRIAGE FAMILY THER
• Corinne Saul
• Parmela Sawhney, M.D.
• Emma Christine Sawyer, FNP-C
• Annie E Scott, R.D.
• Seacoast Behavior, LLC

• Clinic/Center in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.