Active NPI
Carlsbad Family Acupuncture
- Acupuncturist
- Carlsbad, CA
National Provider Identifier
1487945226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 12384
- Legal business name
- CARLSBAD FAMILY ACUPUNCTURE
- Practice address
- 1207 Carlsbad Village Dr Ste Y
Carlsbad, CA 92008-1958 - Phone
- (760) 729-0115
- Fax
- (760) 729-0110
- NPI assigned
- Apr 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Ann Boultbee-Wingo, MSTOM, L.AC.
- Title
- President, Acupuncturist
- Phone
- (760) 729-0115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 12384 | CA | Primary |
Addresses
Primary practice location
1207 Carlsbad Village Dr Ste Y
Carlsbad, CA 92008-1958
Mailing address
329 Moonstone Bay Dr
Oceanside, CA 92057-3426
Phone (760) 729-0115
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Oceanside, CA
- NPI 1659500080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303862400000",
"number": "1487945226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 MOONSTONE BAY DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920573426",
"telephone_number": "760-729-0115",
"fax_number": "760-729-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 CARLSBAD VILLAGE DR STE Y",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081958",
"telephone_number": "760-729-0115",
"fax_number": "760-729-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLSBAD FAMILY ACUPUNCTURE",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-27",
"last_updated": "2011-04-27",
"status": "A",
"authorized_official_last_name": "BOULTBEE-WINGO",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT, ACUPUNCTURIST",
"authorized_official_telephone_number": "760-729-0115",
"authorized_official_credential": "MSTOM, L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 12384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
- Keyla S Cardona Canceco
- Megan Carey, PA-C
- Carlsbad Acupuncture and Herb Clinic Inc
- Carlsbad Collaborative Counseling Center
- Carlsbad Dental Arts
- Carlsbad Family Counseling Inc
- Carlsbad Family Dentistry
- Carlsbad Family Medicine
- Carlsbad Family Therapy Inc
- Carlsbad Integrative Medical Center Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.