Organization Active NPI

Niki Rarig ND Lac Inc

Doing business as East West Natural Medicine Center

  • Acupuncturist
  • San Luis Obispo, CA
National Provider Identifier
1336656727
Registry record updated Jan 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17662 Issued in CA
Legal business name
NIKI RARIG ND LAC INC
Doing business as
East West Natural Medicine Center
Practice address
1415 Higuera St
San Luis Obispo, CA 93401-2915
Phone
(805) 543-8958
Fax
(905) 543-4403
NPI assigned
Jan 7, 2018
Last updated
Jan 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2018

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

Authorized official

Name
Dr. Niki Brook Rarig, ND, LACNPI 1386014306
Title
Owner
Phone
(805) 543-8958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17662 CA Primary

Addresses

Primary practice location

1415 Higuera St
San Luis Obispo, CA 93401-2915

Mailing address

1415 Higuera St
San Luis Obispo, CA 93401-2915
Phone (805) 543-8958

Other identifiers 1

IdentifierTypeStateIssuer
1386014306OtherNPI

Other names 1

  • East West Natural Medicine Center Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515283200000",
    "number": "1336656727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012915",
            "telephone_number": "805-543-8958",
            "fax_number": "805-543-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012915",
            "telephone_number": "805-543-8958",
            "fax_number": "905-543-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKI RARIG ND LAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A",
        "authorized_official_last_name": "RARIG",
        "authorized_official_first_name": "NIKI",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-543-8958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386014306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East West Natural Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.