Individual provider Active NPI

Vanessa Mergulhao, L.AC.

  • Acupuncturist
  • Cardiff by the Sea, CA
National Provider Identifier
1265898555
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16768 Issued in CA
Practice address
2121 Newcastle Ave Ste a
Cardiff by the Sea, CA 92007-1861
Phone
(760) 429-8006
NPI assigned
Jan 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16768 CA Primary

Addresses

Primary practice location

2121 Newcastle Ave Ste a
Cardiff by the Sea, CA 92007-1861

Mailing address

2121 Newcastle Ave Ste a
Cardiff by the Sea, CA 92007-1861
Phone (760) 429-8006

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

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451779200000",
    "number": "1265898555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NEWCASTLE AVE STE A",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071861",
            "telephone_number": "760-429-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NEWCASTLE AVE STE A",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071861",
            "telephone_number": "760-429-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGULHAO",
        "first_name": "VANESSA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff by the Sea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.