Individual provider Active NPI

Hideko Pelzer, L.AC.

  • Acupuncturist
  • Suisun City, CA
National Provider Identifier
1417022302
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6528 Issued in CA
Practice address
1652 Tucson Cir
Suisun City, CA 94585-6331
Phone
(707) 426-0615
Fax
(707) 426-0615
NPI assigned
Nov 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6528 CA Primary

Addresses

Primary practice location

1652 Tucson Cir
Suisun City, CA 94585-6331

Mailing address

1652 Tucson Cir
Suisun City, CA 94585-6331
Phone (707) 426-0615

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
AC6528CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1417022302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 TUCSON CIR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856331",
            "telephone_number": "707-426-0615",
            "fax_number": "707-426-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 TUCSON CIR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856331",
            "telephone_number": "707-426-0615",
            "fax_number": "707-426-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZER",
        "first_name": "HIDEKO",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-23",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suisun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.