Active NPI
Tamara Nicole Williams, LMT, L.AC.
- Acupuncturist
- San Diego, CA
National Provider Identifier
1356628879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 15795
- Practice address
- 1202 Kettner Blvd Ste B
San Diego, CA 92101-3338 - Phone
- (917) 324-9887
- NPI assigned
- Nov 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10386 | CA | |
| Acupuncturist | 171100000X | AC 15795 | CA | Primary |
Addresses
Primary practice location
1202 Kettner Blvd Ste B
San Diego, CA 92101-3338
Mailing address
2410 Island Ave
San Diego, CA 92102-2923
Phone (917) 324-9887
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 |
|---|---|---|---|
| AC 15795 | CA | MD | Acupuncturist |
| 10386 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775347200000",
"number": "1356628879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 ISLAND AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921022923",
"telephone_number": "917-324-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 KETTNER BLVD STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921013338",
"telephone_number": "917-324-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TAMARA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LMT, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2026-04-05",
"certification_date": "2026-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "10386",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 15795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.