Emily Nichols Marson, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

CA17395 Issued in CA

Practice address

3911 5TH Ave
Suite 208
San Diego, CA 92103

Phone

(858) 333-7688

NPI assigned

Jan 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Emily Randall Nichols Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1326584004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 BANCROFT STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92102",
            "telephone_number": "860-305-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 5TH AVE",
            "address_2": "SUITE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "858-333-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSON",
        "first_name": "EMILY",
        "middle_name": "NICHOLS",
        "name_prefix": "Mrs.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA17395",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 17395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NICHOLS",
            "middle_name": "RANDALL",
            "prefix": "MS.",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Marshall, ND
• Thomas James Marshall Jr., MD
• Laura Marshburn, LVN
• Derek Marske
• Emilee Marske
• Blake E. Marston, DDS
• Jacqueline Nicole Marston, D.O.
• Andrea Lynn Martel, LCSW
• Darin Neil Martel, PA-C
• Nicole Martel

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.