NPIMap

Organization Active NPI

Sage Wellness Center Inc.

  • Acupuncturist
  • San Mateo, CA
National Provider Identifier
1356882971
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7674 Issued in CA
Legal business name
SAGE WELLNESS CENTER INC.
Practice address
601 S B St
Ste: a
San Mateo, CA 94401-4120
Phone
(650) 343-7899
Fax
(650) 458-9209
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Yvette Dellanini-Ward, L.AC.,M.S
Title
Owner
Phone
(650) 343-7899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC7674 CA Primary

Addresses

Primary practice location

601 S B St
Ste: a
San Mateo, CA 94401-4120

Mailing address

601 S B St
Ste: a
San Mateo, CA 94401-4120
Phone (650) 343-7899

National Provider Directory

National Provider Directory

Locations

601 S B St
#A
San Mateo, CA 94401
Phone (650) 343-7899

Practitioners & affiliated clinicians

Practitioners 5

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": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1356882971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S B ST",
            "address_2": "STE: A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014120",
            "telephone_number": "650-343-7899",
            "fax_number": "650-458-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S B ST",
            "address_2": "STE: A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014120",
            "telephone_number": "650-343-7899",
            "fax_number": "650-458-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "DELLANINI-WARD",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-343-7899",
        "authorized_official_credential": "L.AC.,M.S"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.