Individual provider Active NPI

Jeffrey Matthew Harrison, L.AC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1306027719
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
L.AC 6536 Issued in CA
Practice address
1449 Lyon St
San Francisco, CA 94115-2914
Phone
(415) 440-4257
Fax
(415) 921-9991
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X L.AC 6536 CA Primary

Addresses

Primary practice location

1449 Lyon St
San Francisco, CA 94115-2914

Mailing address

1449 Lyon St
San Francisco, CA 94115-2914
Phone (415) 440-4257

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
L.AC 6536CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1306027719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 LYON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152914",
            "telephone_number": "415-440-4257",
            "fax_number": "415-921-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 LYON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152914",
            "telephone_number": "415-440-4257",
            "fax_number": "415-921-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JEFFREY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC 6536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.