Individual provider Active NPI

Jerrolynn Rose De Leon Cauayani, L.AC

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1376203430
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19306 Issued in CA
Practice address
2 Clinton Park
San Francisco, CA 94103-2423
Phone
(415) 279-0942
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19306 CA Primary

Addresses

Primary practice location

2 Clinton Park
San Francisco, CA 94103-2423

Mailing address

2 Clinton Park
San Francisco, CA 94103-2423
Phone (415) 279-0942

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address exploreyours@12itual.com Health Information Exchange (HIE)

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
19306CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1376203430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLINTON PARK",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032423",
            "telephone_number": "415-279-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CLINTON PARK",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032423",
            "telephone_number": "415-279-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON CAUAYANI",
        "first_name": "JERROLYNN",
        "middle_name": "ROSE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "exploreyours@12itual.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2 Clinton Park",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941032423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 29, 2021; 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.