Individual provider Active NPI

Jonathan Gavzer, LAC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1356645642
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3303 Issued in CA
Practice address
3251 16TH St Apt 1
San Francisco, CA 94103-5705
Phone
(415) 431-3793
NPI assigned
Dec 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3303 CA Primary

Addresses

Primary practice location

3251 16TH St Apt 1
San Francisco, CA 94103-5705

Mailing address

3251 16TH St Apt 1
San Francisco, CA 94103-5705
Phone (415) 431-3793

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
3303CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293753600000",
    "number": "1356645642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 16TH ST APT 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035705",
            "telephone_number": "415-431-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 16TH ST APT 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035705",
            "telephone_number": "415-431-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVZER",
        "first_name": "JONATHAN",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "3303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.