Individual provider Active NPI

Marie P Astor, L.AC

  • Acupuncturist
  • La Jolla, CA
National Provider Identifier
1538407077
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12481 Issued in CA
Practice address
8950 Villa la Jolla Dr Ste B129
La Jolla, CA 92037-1731
Phone
(858) 450-0620
NPI assigned
Jan 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12481 CA Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste B129
La Jolla, CA 92037-1731

Mailing address

4944 Narragansett Ave Apt 17
San Diego, CA 92107-6122

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

State licenses

LicenseStateTypeSpecialty
AC12481CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Catherine Simonton Acupuncture Center of la Jolla Acupuncturist PastSince Jun 23, 2024 Accepting new patients
Donna Keefe Acupuncturist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1538407077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 NARRAGANSETT AVE APT 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921076122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B129",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371731",
            "telephone_number": "858-450-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTOR",
        "first_name": "MARIE",
        "middle_name": "P",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.