NPIMap

Organization Active NPI

Redwood Coast Acupuncture Center Inc

  • Acupuncturist
  • Eureka, CA
National Provider Identifier
1366975609
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5460 Issued in CA
Legal business name
REDWOOD COAST ACUPUNCTURE CENTER INC
Practice address
2107 Harrison Ave
Eureka, CA 95501-3213
Phone
(707) 444-9446
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Ryan M. Vodden, L.AC.NPI 1740389311
Title
Acupuncturist
Phone
(707) 444-9446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 5460 CA Primary

Addresses

Primary practice location

2107 Harrison Ave
Eureka, CA 95501-3213

Mailing address

2107 Harrison Ave
Eureka, CA 95501-3213
Phone (707) 444-9446

National Provider Directory

National Provider Directory

Locations

2107 Harrison Ave
Eureka, CA 95501
Phone (707) 444-9446

Practitioners & affiliated clinicians

Practitioners 2

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": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1366975609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013213",
            "telephone_number": "707-444-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013213",
            "telephone_number": "707-444-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD COAST ACUPUNCTURE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "VODDEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "707-444-9446",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.