Individual provider Active NPI

Tamara Nicole Williams, LMT, L.AC.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1356628879
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 15795 Issued in CA
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

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC 15795CAMDAcupuncturist
10386CAMDMassage 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.

Verify at the official NPI Registry.