San Carlos Medical Center, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4728 Issued in CA

Legal business name

SAN CARLOS MEDICAL CENTER, INC.

Practice address

1328 El Camino Real
San Carlos, CA 94070-5005

Phone

(650) 593-4000

Fax

(650) 595-5667

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. R. B. Kniskern, PH.D., L.AC, O.M.DNPI 1851485270

Title

Doctor/Acupuncturist

Phone

(650) 593-4000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• R. B. Kniskern, PH.D., L.AC., O.M.D.

  • Acupuncturist
  • San Carlos, CA
  • NPI 1851485270
  NPD (past) Authorized official

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1467703272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705005",
            "telephone_number": "650-593-4000",
            "fax_number": "650-595-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705005",
            "telephone_number": "650-593-4000",
            "fax_number": "650-595-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CARLOS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "KNISKERN",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DOCTOR/ACUPUNCTURIST",
        "authorized_official_telephone_number": "650-593-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.AC, O.M.D"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merle Saber, LMFT
• Sarina Mai Lee Safina, NP
• Shirley Salazar Cano
• Tania Salazar
• San Carlos Endodontics
• San Mateo County (Service Connect)
• Ubaldo F Sanchez, PH.D.
• Jessica Sanders
• Bianca J Sandoval
• Daniel Sandoval

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.