Active NPI
Derek Owen Doss, L.AC.
- Acupuncturist
- Sebastopol, CA
National Provider Identifier
1255666103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13723
- Practice address
- 876 Hwy 116 S Ste 7
Sebastopol, CA 95472-4545 - Phone
- (707) 823-2217
- NPI assigned
- Oct 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 13723 | CA | Primary |
Addresses
Primary practice location
876 Hwy 116 S Ste 7
Sebastopol, CA 95472-4545
Mailing address
876 Hwy 116 S Ste 7
Sebastopol, CA 95472-4545
Phone (707) 823-2217
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 |
|---|---|---|---|
| AC 13723 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1255666103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 HWY 116 S STE 7",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724545",
"telephone_number": "707-823-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 HWY 116 S STE 7",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724545",
"telephone_number": "707-823-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "DEREK",
"middle_name": "OWEN",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-09",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.