Active NPI
Toby Daly, LAC
- Acupuncturist
- Cloverdale, CA
National Provider Identifier
1396076717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 8912
- Practice address
- 103 Commercial St
Cloverdale, CA 95425-3214 - Phone
- (707) 894-5313
- NPI assigned
- Jan 25, 2010
- Last updated
- Jan 25, 2010
- Sex
- Male
- 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 | AC 8912 | CA | Primary |
Addresses
Primary practice location
103 Commercial St
Cloverdale, CA 95425-3214
Mailing address
103 Commercial St
Cloverdale, CA 95425-3214
Phone (707) 894-5313
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 |
|---|---|---|---|
| AC 8912 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1396076717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 COMMERCIAL ST",
"city": "CLOVERDALE",
"state": "CA",
"postal_code": "954253214",
"telephone_number": "707-894-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COMMERCIAL ST",
"city": "CLOVERDALE",
"state": "CA",
"postal_code": "954253214",
"telephone_number": "707-894-5313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "TOBY",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-25",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 8912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cloverdale, CA
- Coppertower Family Medical Center (Alexander Valley Healthcare)
- Coppertower Family Medical Center (Alexander Valley Healthcare)
- Coppertower Family Medical Center (alexander Valley healthcare)
- Coppertower Family Medical Center (Alexander Valley Healthcare)
- County of Sonoma
- Amu Xenaphon Darya, AGPCNP, CNS
- Karen S Davis, MD
- Department of Health Services
- Department of Health Services - Mental Health
- Maria Dilley, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.