NPIMap

Organization Active NPI

Reproductive Wellness

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1245441419
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9332 Issued in CA
Legal business name
REPRODUCTIVE WELLNESS
Doing business as
Acupuncture & Wellness Clinic of San Diego
Practice address
2820 Camino del Rio South
Suite 104
San Diego, CA 92108
Phone
(858) 381-2281
Fax
(618) 546-5815
NPI assigned
May 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Marc Benjamin Sklar, LAC, DA (RI)NPI 1144372921
Title
Clinical Director & Vice-President
Phone
(619) 265-0291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 9332 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 9603 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC9332 CA Primary

Addresses

Primary practice location

2820 Camino del Rio South
Suite 104
San Diego, CA 92108

Mailing address

2820 Camino del Rio South
Suite 104
San Diego, CA 92108
Phone (858) 381-2281

Other names 1

  • Acupuncture & Wellness Clinic of San Diego Doing business as

National Provider Directory

National Provider Directory

Locations

2820 Camino del Rio S
Ste 104
San Diego, CA 92108
Phone (858) 381-2281

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245441419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CAMINO DEL RIO SOUTH",
            "address_2": "SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "858-381-2281",
            "fax_number": "619-546-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CAMINO DEL RIO SOUTH",
            "address_2": "SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "858-381-2281",
            "fax_number": "618-546-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRODUCTIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SKLAR",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR & VICE-PRESIDENT",
        "authorized_official_telephone_number": "619-265-0291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC, DA (RI)"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9332",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9603",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acupuncture & Wellness Clinic of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.