Active NPI
Peter Lecke, L.AC.
- Acupuncturist
- Imperial Beach, CA
National Provider Identifier
1316318272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16784
- Practice address
- 1357 Elder Ave Apt 38
Imperial Beach, CA 91932-3041 - Phone
- (619) 981-0116
- NPI assigned
- Oct 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 16784 | CA | Primary |
Addresses
Primary practice location
1357 Elder Ave Apt 38
Imperial Beach, CA 91932-3041
Mailing address
1357 Elder Ave Apt 38
Imperial Beach, CA 91932-3041
Phone (619) 981-0116
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16784 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1316318272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 ELDER AVE APT 38",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919323041",
"telephone_number": "619-981-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 ELDER AVE APT 38",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919323041",
"telephone_number": "619-981-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECKE",
"first_name": "PETER",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-16",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Imperial Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.