Organization Active NPI

Sports Performance Acupuncture

  • Acupuncturist
  • Walnut Creek, CA
National Provider Identifier
1528517190
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16474 Issued in CA
Legal business name
SPORTS PERFORMANCE ACUPUNCTURE
Practice address
3100 Oak Rd Ste 120
Walnut Creek, CA 94597-2039
Phone
(925) 785-7364
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Josh Taves, LACNPI 1326426743
Title
Acupuncturist
Phone
(925) 785-7364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 16474 CA Primary

Addresses

Primary practice location

3100 Oak Rd Ste 120
Walnut Creek, CA 94597-2039

Mailing address

1269 Lindell Dr
Walnut Creek, CA 94596-6040
Phone (925) 785-7364

National Provider Directory

National Provider Directory

Locations

3100 Oak Rd
Ste 120
Walnut Creek, CA 94597
Phone (925) 938-1122

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": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1528517190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 LINDELL DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945966040",
            "telephone_number": "925-785-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK RD STE 120",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972039",
            "telephone_number": "925-785-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PERFORMANCE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "TAVES",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "925-785-7364",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.