Organization Active NPI

Integrated Acupuncture Services, a Professional Corporation

  • Health Service Clinic/Center
  • Avila Beach, CA
National Provider Identifier
1336396712
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC 8417 Issued in CA
Legal business name
INTEGRATED ACUPUNCTURE SERVICES, A PROFESSIONAL CORPORATION
Practice address
6639A Bay Laurel PL
Avila Beach, CA 93424-3504
Phone
(805) 705-1792
Fax
(805) 705-1792
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Dr. Mary Jane Mees, LAC DAOMNPI 1386788933
Title
Ceo
Phone
(805) 705-1792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AC 8417 CA Primary

Addresses

Primary practice location

6639A Bay Laurel PL
Avila Beach, CA 93424-3504

Mailing address

PO Box 757
Avila Beach, CA 93424-0757
Phone (805) 705-1792

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1336396712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934240757",
            "telephone_number": "805-705-1792",
            "fax_number": "805-705-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639A BAY LAUREL PL",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934243504",
            "telephone_number": "805-705-1792",
            "fax_number": "805-705-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ACUPUNCTURE SERVICES, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "MEES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-705-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC DAOM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "AC 8417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avila Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.