Individual provider Active NPI

Surrena Lovell-Hampton, L.AC, DIPL. O.M.

  • Acupuncturist
  • El Cajon, CA
National Provider Identifier
1457618324
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14730 Issued in CA
Practice address
2518 Jamacha Rd
#304
El Cajon, CA 92019-6314
Phone
(619) 670-5123
NPI assigned
Apr 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 14730 CA Primary
Specialist 174400000X 29230 CA

Addresses

Primary practice location

2518 Jamacha Rd
#304
El Cajon, CA 92019-6314

Mailing address

3548 4TH Ave
San Diego, CA 92103-4913
Phone (619) 867-3756

Other names 1

  • Surrena Lovell Former name

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
29230CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1457618324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034913",
            "telephone_number": "619-867-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 JAMACHA RD",
            "address_2": "#304",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920196314",
            "telephone_number": "619-670-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL-HAMPTON",
        "first_name": "SURRENA",
        "credential": "L.AC, DIPL. O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14730",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "29230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURRENA",
            "last_name": "LOVELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.