Active NPI
Robert Cy McCallister, LAC.
- Acupuncturist
- Orangevale, CA
National Provider Identifier
1447285333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10242
- Practice address
- 8680 Greenback LN
Suite 110
Orangevale, CA 95662-3969 - Phone
- (916) 988-3379
- Fax
- (916) 988-3324
- NPI assigned
- Jul 11, 2006
- 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 | 10242 | CA | Primary |
Addresses
Primary practice location
8680 Greenback LN
Suite 110
Orangevale, CA 95662-3969
Mailing address
8680 Greenback LN
Suite 110
Orangevale, CA 95662-3969
Phone (916) 988-3379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10242 | Other | CA | CA ACUPUNCTURE LICENSE |
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 |
|---|---|---|---|
| 10242 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447285333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8680 GREENBACK LN",
"address_2": "SUITE 110",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956623969",
"telephone_number": "916-988-3379",
"fax_number": "916-988-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8680 GREENBACK LN",
"address_2": "SUITE 110",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956623969",
"telephone_number": "916-988-3379",
"fax_number": "916-988-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLISTER",
"first_name": "ROBERT",
"middle_name": "CY",
"name_prefix": "Mr.",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "10242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA ACUPUNCTURE LICENSE",
"identifier": "10242",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.