Organization Active NPI

Carlsbad Family Acupuncture

  • Acupuncturist
  • Carlsbad, CA
National Provider Identifier
1487945226
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 12384 Issued in CA
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

Updated by the provider on Apr 27, 2011

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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

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.

Verify at the official NPI Registry.