Acupuncture Studio of San Rafael

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13882 Issued in CA

Legal business name

ACUPUNCTURE STUDIO OF SAN RAFAEL

Practice address

526 3Rd St Ste C1
San Rafael, CA 94901-3364

Phone

(415) 488-3932

NPI assigned

Jul 9, 2011

Organization subpart

No

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

Authorized official

Name

Miss Amber Scriven, MS LAC

Title

Acupuncturist, Co Founder

Phone

(415) 488-3932

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310169600000",
    "number": "1447547542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GRANDE PASEO",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031518",
            "telephone_number": "415-328-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 3RD ST STE C1",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013364",
            "telephone_number": "415-488-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE STUDIO OF SAN RAFAEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2011-07-09",
        "status": "A",
        "authorized_official_last_name": "SCRIVEN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACUPUNCTURIST, CO FOUNDER",
        "authorized_official_telephone_number": "415-488-3932",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2011; 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.