Active NPI
Peregrine Zoe Robins Whitehurst, LAC.
- Acupuncturist
- Nevada City, CA
National Provider Identifier
1316752520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC18978
- Practice address
- 421 Broad St
Nevada City, CA 95959-2407 - Phone
- (530) 268-5154
- NPI assigned
- Feb 13, 2025
- Sex
- Female
- 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 | AC18978 | CA | Primary |
Addresses
Primary practice location
421 Broad St
Nevada City, CA 95959-2407
Mailing address
19320 Wymer LN
Grass Valley, CA 95945-8874
Phone (415) 652-3763
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 |
|---|---|---|---|
| AC18978 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1316752520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19320 WYMER LN",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959458874",
"telephone_number": "415-652-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 BROAD ST",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592407",
"telephone_number": "530-268-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHURST",
"first_name": "PEREGRINE",
"middle_name": "ZOE ROBINS",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC18978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
- Western Sierra Medical Clinic, Inc.
- Western Sierra Medical Clinic, Inc.
- Western Sierra Medical Clinic, Inc.
- Western Sierra Medical Clinic, Inc.
- Christopher Ryan Whalen, DC
- Sandra Lynne Whitlock, MFT
- Christopher Lewis Keola Williams, PA-C
- Danielle Elizabeth Williamson, LCSW
- Sarah Ann Wilson-Daley, M.S.W.
- Cheryl Dove Wilson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.