Individual provider Active NPI

Mercy Park

  • Acupuncturist
  • Foothill Ranch, CA
National Provider Identifier
1427620459
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19185 Issued in CA
Practice address
26700 Towne Centre Dr Ste 250
Foothill Ranch, CA 92610-2854
Phone
(213) 800-3692
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19185 CA Primary

Addresses

Primary practice location

26700 Towne Centre Dr Ste 250
Foothill Ranch, CA 92610-2854

Mailing address

26700 Towne Centre Dr Ste 250
Foothill Ranch, CA 92610-2854
Phone (213) 800-3692

Other identifiers 1

IdentifierTypeStateIssuer
AC19185OtherCAACUPUNCTURIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mercy@lifegivingacupuncture.com

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
19185CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Life Giving Acupuncture Inc Acupuncturist Current Accepting new patients

Locations

26700 Towne Centre Dr
Ste 250
Foothill Ranch, CA 92610
Phone (949) 701-2516

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1427620459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 250",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102854",
            "telephone_number": "213-800-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 250",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102854",
            "telephone_number": "213-800-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MERCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2022-08-15",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC19185",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mercy@lifegivingacupuncture.com",
            "affiliation": "N",
            "address_1": "26700 Towne Centre Dr Ste 250",
            "city": "Foothill Ranch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926102854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.