Individual provider Active NPI

Jacquelyn C. Byrd, L.AC., DIPL. O.M.

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1396041919
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13829 Issued in CA
Practice address
1080 Emeline Ave
Santa Cruz, CA 95060-1966
Phone
(831) 454-4100
NPI assigned
Jan 28, 2011
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13829 CA Primary

Addresses

Primary practice location

1080 Emeline Ave
Santa Cruz, CA 95060-1966

Mailing address

150 15TH St
Pacific Grove, CA 93950-2735
Phone (831) 393-4876

Other practice location 1

115A Coral St
Santa Cruz, CA 95060-2131
Phone (831) 454-2080

Other practice location 2

1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone (831) 763-8400

Other practice location 3

150 15th St
Pacific Grove, CA 93950-2735
Phone (831) 393-4876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215000014 CA Practitioner - Pain Management 7012307606 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Institute Acupuncturist Current Accepting new patients
County of Santa Cruz CurrentSince Nov 9, 2021 Accepting new patients
County of Santa Cruz CurrentSince Nov 9, 2021 Accepting new patients
County of Santa Cruz Current Accepting new patients
Pacific Grove Acupuncture, Inc. Acupuncturist Current Accepting new patients
County of Santa Cruz CurrentSince Nov 9, 2021 Accepting new patients
Pacific Grove Acupuncture Acupuncturist Past Accepting new patients

Locations

150 15th St
Pacific Grove, CA 93950
Phone (831) 224-7621

1080 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4100

1080 Emeline Ave
Bldg D
Santa Cruz, CA 95060
Phone 8314544100 ext. 4460

115A Coral St
Santa Cruz, CA 95060
Phone (831) 454-2080

1430 Freedom Blvd
Watsonville, CA 95076
Phone (831) 763-8200

1430 Freedom Blvd
Ste D
Watsonville, CA 95076
Phone (831) 763-8400

1430 Freedom Blvd
Ste F
Watsonville, CA 95076
Phone (831) 588-7598

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1396041919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 15TH ST",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502735",
            "telephone_number": "831-393-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601966",
            "telephone_number": "831-454-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115A Coral St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950602131",
            "country_code": "US",
            "telephone_number": "831-454-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Freedom Blvd",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762780",
            "country_code": "US",
            "telephone_number": "831-763-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 15th St",
            "address_purpose": "LOCATION",
            "city": "Pacific Grove",
            "state": "CA",
            "postal_code": "939502735",
            "country_code": "US",
            "telephone_number": "831-393-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JACQUELYN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.