Individual provider Active NPI

Elizabeth Kianu Stahmer, L.AC.

  • Acupuncturist
  • Castro Valley, CA
National Provider Identifier
1447555826
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7407 Issued in CA
Practice address
20638 Patio Drive
Castro Valley, CA 94546-4460
Phone
(510) 754-3901
Fax
(510) 733-2004
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7407 CA Primary

Addresses

Primary practice location

20638 Patio Drive
Castro Valley, CA 94546-4460

Mailing address

20638 Patio Dr
Castro Valley, CA 94546-5606
Phone (510) 754-3901

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
AC7407CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1447555826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20638 PATIO DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465606",
            "telephone_number": "510-754-3901",
            "fax_number": "510-733-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20638 PATIO DRIVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464460",
            "telephone_number": "510-754-3901",
            "fax_number": "510-733-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHMER",
        "first_name": "ELIZABETH",
        "middle_name": "KIANU",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.