Individual provider Active NPI

Eugenia F Dimatteo, L.AC.

  • Acupuncturist
  • San Rafael, CA
National Provider Identifier
1265739213
Registry record updated Feb 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9906 Issued in CA
Practice address
8 Harte Ave
San Rafael, CA 94901-5222
Phone
(415) 246-7819
Fax
(415) 578-2463
NPI assigned
Feb 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9906 CA Primary

Addresses

Primary practice location

8 Harte Ave
San Rafael, CA 94901-5222

Mailing address

8 Harte Ave
San Rafael, CA 94901-5222
Phone (415) 246-7819

Other names 1

  • Gia Dimatteo Professional name

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
9906CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298678400000",
    "number": "1265739213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HARTE AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015222",
            "telephone_number": "415-246-7819",
            "fax_number": "415-578-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HARTE AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015222",
            "telephone_number": "415-246-7819",
            "fax_number": "415-578-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMATTEO",
        "first_name": "EUGENIA",
        "middle_name": "F",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-26",
        "last_updated": "2011-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIA",
            "last_name": "DIMATTEO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.