Active NPI
Eugenia F Dimatteo, L.AC.
- Acupuncturist
- San Rafael, CA
National Provider Identifier
1265739213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 9906
- 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
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 | 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
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 |
|---|---|---|---|
| 9906 | CA | MD | Acupuncturist |
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.