Active NPI
Angela Rae Maddock, DACM
- Acupuncturist
- Fallbrook, CA
National Provider Identifier
1245161629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 20616
- Practice address
- 4263 Sterling View Dr
Fallbrook, CA 92028-9664 - Phone
- (760) 310-8315
- NPI assigned
- May 26, 2026
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 62818 | CA | |
| Acupuncturist | 171100000X | 20616 | CA | Primary |
Addresses
Primary practice location
4263 Sterling View Dr
Fallbrook, CA 92028-9664
Mailing address
4257 Sterling View Dr
Fallbrook, CA 92028-9664
Phone (760) 310-8315
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 |
|---|---|---|---|
| 20616 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1245161629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4257 STERLING VIEW DR",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920289664",
"telephone_number": "760-310-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4263 STERLING VIEW DR",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920289664",
"telephone_number": "760-310-8315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOCK",
"first_name": "ANGELA",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "DACM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "62818",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "20616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.