Individual provider Active NPI

Nadia Ayadi, DTCM, LAC

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1265790604
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14621 Issued in CA
Practice address
4550 Kearny Villa Rd Ste 208
San Diego, CA 92123-1565
Phone
(619) 609-5300
Fax
(619) 830-5605
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 14621 CA Primary

Addresses

Primary practice location

4550 Kearny Villa Rd Ste 208
San Diego, CA 92123-1565

Mailing address

4550 Kearny Villa Rd Ste 208
San Diego, CA 92123-1565
Phone (619) 609-5300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastlake Acupuncture Inc. Acupuncturist CurrentSince Mar 11, 2025 Accepting new patients

Locations

890 Eastlake Pkwy
Ste 307
Chula Vista, CA 91914
Phone (619) 421-3275

4550 Kearny Villa Rd
Ste 208
San Diego, CA 92123
Phone (619) 609-5300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1265790604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231565",
            "telephone_number": "619-609-5300",
            "fax_number": "619-830-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231565",
            "telephone_number": "619-609-5300",
            "fax_number": "619-830-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYADI",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "DTCM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.