Organization Active NPI

David W McKinnon Sustain Acupuncture

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1356903264
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DAVID W MCKINNON SUSTAIN ACUPUNCTURE
Practice address
2537 University Ave
San Diego, CA 92104-2807
Phone
(619) 358-9508
Fax
(619) 727-4543
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Authorized official

Name
Dr. David W McKinnon, DACM
Title
Owner
Phone
(619) 358-9508

Specialties & licenses 1

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

Addresses

Primary practice location

2537 University Ave
San Diego, CA 92104-2807

Mailing address

2537 University Ave
San Diego, CA 92104-2807
Phone (619) 358-9508

Other names 2

  • Sustain Acupuncture Doing business as
  • Sustain Community Acupuncture Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1356903264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042807",
            "telephone_number": "619-358-9508",
            "fax_number": "619-727-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042807",
            "telephone_number": "619-358-9508",
            "fax_number": "619-727-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W MCKINNON SUSTAIN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-358-9508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sustain Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sustain Community Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2019; 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.