Active NPI
Jessica Wakeman, LAC
- Acupuncturist
- Pleasanton, CA
National Provider Identifier
1265999601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18453
- Practice address
- 1020 Serpentine LN Ste 115
Pleasanton, CA 94566-4758 - Phone
- (914) 497-6100
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 18453 | CA | Primary |
Addresses
Primary practice location
1020 Serpentine LN Ste 115
Pleasanton, CA 94566-4758
Mailing address
1374 Post Ave
San Leandro, CA 94579-1248
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": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1265999601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1374 POST AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SERPENTINE LN STE 115",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945664758",
"telephone_number": "914-497-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEMAN",
"first_name": "JESSICA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.