Active NPI
Acupuncture Institute
- Acupuncturist
- Los Gatos, CA
National Provider Identifier
1275153447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396041919 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Santa Cruz, CA
- NPI 1396041919
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.