Tirtha Mendake, D.C, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15613 Issued in CA

Practice address

350 Townsend St Ste 275
San Francisco, CA 94107-1600

Phone

(415) 578-8781

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1245660091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 DE HARO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072708",
            "telephone_number": "415-578-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TOWNSEND ST STE 275",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071600",
            "telephone_number": "415-578-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDAKE",
        "first_name": "TIRTHA",
        "name_prefix": "Dr.",
        "credential": "D.C, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "31601",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fructuoso Menchavez III
• Mark Menchavez
• Sarah Maria Mencia Fernandez, MAS, RD, CSP, IBCLC
• Nadja Natasha Mencin, M.D.
• Menda Behavioral Health Services of California, PC
• Lori Mendelsohn, MD
• Andrew Crockett Mendelson, NP
• John Edward Mendelson, MD
• Terrie Mendelson, M.D.
• Fredric Steven Mendes, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.