Individual provider Active NPI

Bridget Alison Puchalsky, L.AC.

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1477972735
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15909 Issued in CA
Practice address
131 Grant St
Santa Cruz, CA 95060-2916
Phone
(970) 406-1704
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15909 CA Primary

Addresses

Primary practice location

131 Grant St
Santa Cruz, CA 95060-2916

Mailing address

131 Grant St
Santa Cruz, CA 95060-2916
Phone (970) 406-1704

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
15909CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1477972735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GRANT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602916",
            "telephone_number": "970-406-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 GRANT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602916",
            "telephone_number": "970-406-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHALSKY",
        "first_name": "BRIDGET",
        "middle_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15909",
            "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 Apr 15, 2014; 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.