NPIMap

Organization Active NPI

Carlsbad Acupuncture and Herb Clinic Inc

  • Acupuncturist
  • Carlsbad, CA
National Provider Identifier
1487794103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9970 Issued in CA
Legal business name
CARLSBAD ACUPUNCTURE AND HERB CLINIC INC
Practice address
800 Grand Ave
C-1
Carlsbad, CA 92008-1808
Phone
(760) 434-7832
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Michael Polak, LACNPI 1326194473
Title
Ceo
Phone
(760) 434-7832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 9970 CA Primary

Addresses

Primary practice location

800 Grand Ave
C-1
Carlsbad, CA 92008-1808

Mailing address

800 Grand Ave
C-1
Carlsbad, CA 92008-1808
Phone (760) 434-7832

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487794103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND AVE",
            "address_2": "C-1",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081808",
            "telephone_number": "760-434-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND AVE",
            "address_2": "C-1",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081808",
            "telephone_number": "760-434-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD ACUPUNCTURE AND HERB CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-434-7832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.