Tasha Ingrid Mintzer, DACM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19849 Issued in CA

Practice address

3333 Camino del Rio S Ste 320
San Diego, CA 92108-3837

Phone

(619) 324-9079

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medicine of the Peace Corp.

  • Acupuncturist
  • San Diego, CA
  • NPI 1346004611
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1386477347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083837",
            "telephone_number": "619-324-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083837",
            "telephone_number": "619-324-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZER",
        "first_name": "TASHA",
        "middle_name": "INGRID",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "19849",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bruce Minteer III, MD
• Alex Rogers Minter, M.D.
• Julea N Minton, NP-C
• Yvonne Marie Minton, PT
• Jordan Minty
• Joshua James Minuto, M.D.
• Todd Michael Miodek, NP
• Mikael Mir, MD
• Mira Mesa Business Group LLC
• Mira Mesa Chiropractic

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.