Individual provider Active NPI

Jennifer Erin Ross, L.AC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1255632576
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13781 Issued in CA
Practice address
703 Market St
Ste. 514
San Francisco, CA 94103-2102
Phone
(415) 298-6862
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13781 CA Primary

Addresses

Primary practice location

703 Market St
Ste. 514
San Francisco, CA 94103-2102

Mailing address

525 66TH St
Apt. a
Oakland, CA 94609-1189
Phone (707) 738-7323

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

LicenseStateTypeSpecialty
13781CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Acupuncture Inc. Current Accepting new patients
Jennifer E. Ross, L.Ac. Acupuncturist Current Accepting new patients

Locations

403 49th St
Ste E
Oakland, CA 94609
Phone (510) 629-9456

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1255632576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 66TH ST",
            "address_2": "APT. A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091189",
            "telephone_number": "707-738-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MARKET ST",
            "address_2": "STE. 514",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032102",
            "telephone_number": "415-298-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.