Organization Active NPI

Tara Acupuncture & Wellness Inc

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1285330928
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TARA ACUPUNCTURE & WELLNESS INC
Practice address
16516 Bernardo Center Dr Ste 320
San Diego, CA 92128-2552
Phone
(619) 289-7757
Fax
(619) 353-0553
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Dr. Tara Marie Shah, DACM, LACNPI 1578296455
Title
Ceo, Cfo, Secretary
Phone
(619) 289-7757

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

16516 Bernardo Center Dr Ste 320
San Diego, CA 92128-2552

Mailing address

16516 Bernardo Center Dr Ste 320
San Diego, CA 92128-2552
Phone (619) 289-7757

National Provider Directory

National Provider Directory

Locations

16516 Bernardo Center Dr
Ste 320
San Diego, CA 92128
Phone (619) 289-7757

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": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1285330928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16516 BERNARDO CENTER DR STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282552",
            "telephone_number": "619-289-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16516 BERNARDO CENTER DR STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282552",
            "telephone_number": "619-289-7757",
            "fax_number": "619-353-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA ACUPUNCTURE & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "619-289-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 May 31, 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.