Organization Active NPI

Optima Wellness Acupuncture

  • Acupuncturist
  • Walnut Creek, CA
National Provider Identifier
1255880902
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 17010 Issued in CA
Legal business name
OPTIMA WELLNESS ACUPUNCTURE
Practice address
325 N Wiget LN
Suite 130
Walnut Creek, CA 94598-2435
Phone
(925) 289-8431
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Marie M Guptill, L.AC.
Title
Owner
Phone
(925) 289-8431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 17010 CA Primary

Addresses

Primary practice location

325 N Wiget LN
Suite 130
Walnut Creek, CA 94598-2435

Mailing address

1250 Newell Ave Ste I
#154
Walnut Creek, CA 94596-5373
Phone (925) 289-8431

National Provider Directory

National Provider Directory

Locations

1250 Newell Ave
Ste I
Walnut Creek, CA 94596

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1255880902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NEWELL AVE STE I",
            "address_2": "#154",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965373",
            "telephone_number": "925-289-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N WIGET LN",
            "address_2": "SUITE 130",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982435",
            "telephone_number": "925-289-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA WELLNESS ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "GUPTILL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-289-8431",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 17010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.