Southbay Pain & Sports Medicine Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14131 Issued in CA

Legal business name

SOUTHBAY PAIN & SPORTS MEDICINE ACUPUNCTURE

Practice address

2920 Broadway
Redwood City, CA 94062-1578

Phone

(408) 600-1513

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Miki Higuchi, L.AC.

Title

Owner

Phone

(408) 605-1471

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1255624821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610110",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940610110",
            "telephone_number": "408-605-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 BROADWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621578",
            "telephone_number": "408-600-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY PAIN & SPORTS MEDICINE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "HIGUCHI",
        "authorized_official_first_name": "MIKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-605-1471",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darya Soofi
• Tariku Mulugeta Sory, LVN
• Katherine Soto
• Mayra Alejandra Soto, LCSW
• Cecily Koppuzha Sotomayor, M.D.
• Sparc
• Skyler Spears
• Amanda Speedy
• Karla Priscilla Spinelli Machado Martins
• Rose Spinna

• Acupuncturist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Acupuncturist in California

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