Active NPI
Debra Marn, L.AC., RPH
- Acupuncturist
- San Diego, CA
National Provider Identifier
1528200888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 11301
- Practice address
- 2831 Camino del Rio S Ste 107
San Diego, CA 92108-3827 - Phone
- (619) 876-6060
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 11301 | CA | Primary |
| Pharmacist | 183500000X | 39501 | CA |
Addresses
Primary practice location
2831 Camino del Rio S Ste 107
San Diego, CA 92108-3827
Mailing address
7975 June Lake Dr
San Diego, CA 92119-3113
Phone (619) 876-6060
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 Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 11301 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1528200888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7975 JUNE LAKE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921193113",
"telephone_number": "619-876-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 CAMINO DEL RIO S STE 107",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083827",
"telephone_number": "619-876-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARN",
"first_name": "DEBRA",
"credential": "L.AC., RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 11301",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "39501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.