Active NPI
Stephanie Lacarrubba, LAC RN
- Acupuncturist
- San Mateo, CA
National Provider Identifier
1497888036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5511
- Practice address
- 60 N El Camino Road
#C
San Mateo, CA 94401 - Phone
- (650) 344-8499
- Fax
- (650) 344-8499
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 309326 | CA | |
| Acupuncturist | 171100000X | 5511 | CA | Primary |
Addresses
Primary practice location
60 N El Camino Road
#C
San Mateo, CA 94401
Mailing address
60 N El Camino Road
#C
San Mateo, CA 94401
Phone (650) 344-8499
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309326 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1497888036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 N EL CAMINO ROAD",
"address_2": "#C",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94401",
"telephone_number": "650-344-8499",
"fax_number": "650-344-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N EL CAMINO ROAD",
"address_2": "#C",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94401",
"telephone_number": "650-344-8499",
"fax_number": "650-344-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACARRUBBA",
"first_name": "STEPHANIE",
"credential": "LAC RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "309326",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "5511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.