Individual provider Active NPI

Marlena Louisa Munoz, LAC

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1447757893
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15874 Issued in CA
Practice address
4515 Bain Ave
Santa Cruz, CA 95062-4542
Phone
(831) 588-9139
NPI assigned
Apr 11, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15874 CA Primary

Addresses

Primary practice location

4515 Bain Ave
Santa Cruz, CA 95062-4542

Mailing address

4515 Bain Ave
Santa Cruz, CA 95062-4542
Phone (831) 588-9139

Other practice location 1

2222 E Cliff Dr Ste 216
Santa Cruz, CA 95062-4739
Phone (831) 588-9139

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

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1447757893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 BAIN AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624542",
            "telephone_number": "831-588-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 BAIN AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624542",
            "telephone_number": "831-588-9139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 E Cliff Dr Ste 216",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950624739",
            "country_code": "US",
            "telephone_number": "831-588-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MARLENA",
        "middle_name": "LOUISA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.