Organization Active NPI

Eastlake Acupuncture Inc.

Doing business as Eastlake Acupuncture & Massage

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1538427976
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
14621 Issued in CA
Legal business name
EASTLAKE ACUPUNCTURE INC.
Doing business as
Eastlake Acupuncture & Massage
Practice address
4550 Kearny Villa Rd Ste 208
San Diego, CA 92123
Phone
(619) 609-5300
Fax
(619) 550-3269
NPI assigned
Apr 23, 2012
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dr. Nadia Ayadi, DTCM, L.AC.NPI 1265790604
Title
Licensed Acupuncturist Owner of Eas
Phone
(619) 609-5300

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
Acupuncturist 171100000X 14621 CA Primary

Addresses

Primary practice location

4550 Kearny Villa Rd Ste 208
San Diego, CA 92123

Mailing address

4550 Kearny Villa Rd Ste 208
San Diego, CA 92123
Phone (619) 609-5300

Other names 1

  • Eastlake Acupuncture & Massage Doing business as

National Provider Directory

National Provider Directory

Locations

890 Eastlake Pkwy
Ste 307
Chula Vista, CA 91914
Phone (619) 421-3275

4550 Kearny Villa Rd
Ste 208
San Diego, CA 92123
Phone (619) 609-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1538427976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-609-5300",
            "fax_number": "619-550-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-609-5300",
            "fax_number": "619-550-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAKE ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "AYADI",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST OWNER OF EAS",
        "authorized_official_telephone_number": "619-609-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DTCM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastlake Acupuncture & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 19, 2025; 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.