Pure Zen Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14316 Issued in CA

Legal business name

PURE ZEN WELLNESS

Practice address

1114 N Coast Highway 101 Ste 1a
Encinitas, CA 92024-1483

Phone

(760) 710-0234

Fax

(760) 635-5727

NPI assigned

Aug 21, 2012

Last updated

Aug 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna Krasheninnikova, L.AC.

Title

Owner

Phone

(760) 710-0234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1265780373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N COAST HIGHWAY 101 STE 1A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241483",
            "telephone_number": "760-710-0234",
            "fax_number": "760-635-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N COAST HIGHWAY 101 STE 1A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241483",
            "telephone_number": "760-710-0234",
            "fax_number": "760-635-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ZEN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "KRASHENINNIKOVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-710-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.