Organization Active NPI

Acupuncture Institute

  • Acupuncturist
  • Los Gatos, CA
National Provider Identifier
1275153447
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ACUPUNCTURE INSTITUTE
Practice address
859 University Ave Apt 7
Los Gatos, CA 95032-7616
Phone
(831) 224-7621
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Jacquelyn C. Byrd, DAOM, L.AC.NPI 1396041919
Title
Ceo, Cfo
Phone
(831) 224-7621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

859 University Ave Apt 7
Los Gatos, CA 95032-7616

Mailing address

859 University Ave Apt 7
Los Gatos, CA 95032-7616
Phone (831) 224-7621

Other identifiers 1

IdentifierTypeStateIssuer
1396041919MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1275153447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 UNIVERSITY AVE APT 7",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327616",
            "telephone_number": "831-224-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 UNIVERSITY AVE APT 7",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327616",
            "telephone_number": "831-224-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "831-224-7621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396041919",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.