Active NPI
Diane C. Sutton, LAC
- Acupuncturist
- Lodi, CA
National Provider Identifier
1386889970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12553
- Practice address
- 104 N School St
Suite 311
Lodi, CA 95240-2148 - Phone
- (209) 712-7570
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC12553 | CA | Primary |
Addresses
Primary practice location
104 N School St
Suite 311
Lodi, CA 95240-2148
Mailing address
104 North School Street
Suite 311
Lodi, CA 95240-9524
Phone (209) 712-7570
Other names 1
- Ms. Diane C. Sutton
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC12553 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229212800000",
"number": "1386889970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 NORTH SCHOOL STREET",
"address_2": "SUITE 311",
"city": "LODI",
"state": "CA",
"postal_code": "952409524",
"telephone_number": "209-712-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N SCHOOL ST",
"address_2": "SUITE 311",
"city": "LODI",
"state": "CA",
"postal_code": "952402148",
"telephone_number": "209-712-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "DIANE",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2008-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "SUTTON",
"middle_name": "C.",
"prefix": "MS.",
"credential": "DIANE SUTTON LAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.