Individual provider Active NPI

Robert Mariano, L.AC.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1285874651
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6008 Issued in CA
Practice address
5858 Mount Alifan Dr
Suite #131
San Diego, CA 92111-2723
Phone
(858) 565-1075
NPI assigned
Feb 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6008 CA Primary

Addresses

Primary practice location

5858 Mount Alifan Dr
Suite #131
San Diego, CA 92111-2723

Mailing address

5858 Mount Alifan Dr
Suite #131
San Diego, CA 92111-2723
Phone (858) 565-1075

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

State licenses

LicenseStateTypeSpecialty
AC6008CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1285874651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 MOUNT ALIFAN DR",
            "address_2": "SUITE #131",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112723",
            "telephone_number": "858-565-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 MOUNT ALIFAN DR",
            "address_2": "SUITE #131",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112723",
            "telephone_number": "858-565-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "ROBERT",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6008",
            "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 Feb 25, 2009; 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.