Kristelyn Brooks Wachner, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11690 Issued in CA

Practice address

711 4TH Ave
Suite 201
San Diego, CA 92101-6970

Phone

(619) 398-5157

Fax

(619) 702-7609

NPI assigned

Feb 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1508034992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 MARLBOROUGH AVE",
            "address_2": "APARTMENT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051181",
            "telephone_number": "619-398-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 4TH AVE",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016970",
            "telephone_number": "619-398-5157",
            "fax_number": "619-702-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHNER",
        "first_name": "KRISTELYN",
        "middle_name": "BROOKS",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veenavi W Fernando
• Jill Marie Waalen, MD
• Leah D Wabschall, PSYD
• Shayna Wachendorf
• Sandra Lyn-Young Wachenheimer, RN
• Rebecca Ann Wachtel, D.D.S.
• Rosa Wachtel
• Taylor M Wachtel
• Kristine M. Wackerly
• Meghan Coleman Waclawski, BCBA

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.