Individual provider Active NPI

Johannes Kazuo Wegmuller, L.AC.

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1265761571
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6495 Issued in CA
Practice address
208 Escalona Dr
Santa Cruz, CA 95060-2605
Phone
(831) 706-6125
NPI assigned
Dec 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6495 CA Primary

Addresses

Primary practice location

208 Escalona Dr
Santa Cruz, CA 95060-2605

Mailing address

208 Escalona Dr
Santa Cruz, CA 95060-2605
Phone (831) 706-6125

Other names 1

  • Mr. Kaz Wegmuller 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
AC6495CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1265761571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ESCALONA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602605",
            "telephone_number": "831-706-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ESCALONA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602605",
            "telephone_number": "831-706-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMULLER",
        "first_name": "JOHANNES",
        "middle_name": "KAZUO",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAZ",
            "last_name": "WEGMULLER",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.