Individual provider Active NPI

Diane C. Sutton, LAC

  • Acupuncturist
  • Lodi, CA
National Provider Identifier
1386889970
Registry record updated Dec 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12553 Issued in CA
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

Updated by the provider on Dec 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
AC12553CAMDAcupuncturist

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.

Verify at the official NPI Registry.