Individual provider Active NPI

Jacquelyn Leigh Sugich, L.AC

  • Acupuncturist
  • Santa Barbara, CA
National Provider Identifier
1457472417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11332 Issued in CA
Practice address
2015A State St
Santa Barbara, CA 93105-3553
Phone
(805) 708-1516
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11332 CA Primary

Addresses

Primary practice location

2015A State St
Santa Barbara, CA 93105-3553

Mailing address

133 E de la Guerra St
PMB 402
Santa Barbara, CA 93101-2228
Phone (805) 708-1516

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
AC11332CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457472417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E DE LA GUERRA ST",
            "address_2": "PMB 402",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012228",
            "telephone_number": "805-708-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015A STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053553",
            "telephone_number": "805-708-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGICH",
        "first_name": "JACQUELYN",
        "middle_name": "LEIGH",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, 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.

Verify at the official NPI Registry.