Individual provider Active NPI

Lourdes Reyes Ortega-Ticzon, ACUPUNCTURIST

  • Acupuncturist
  • Murrieta, CA
National Provider Identifier
1568525756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6038 Issued in CA
Practice address
39525 Los Alamos Rd Ste E
Murrieta, CA 92563-5027
Phone
(951) 719-6468
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6038 CA Primary

Addresses

Primary practice location

39525 Los Alamos Rd Ste E
Murrieta, CA 92563-5027

Mailing address

2498 Douglaston GLN
Escondido, CA 92026-1464
Phone (619) 855-8273

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
AC6038CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ticzon Acupuncture Clinical Inc Acupuncturist Current Accepting new patients

Locations

550 E 8th St
Ste 14B
National City, CA 91950
Phone (619) 855-8273

Organizations & group practices 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568525756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 DOUGLASTON GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920261464",
            "telephone_number": "619-855-8273",
            "fax_number": "951-698-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39525 LOS ALAMOS RD STE E",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635027",
            "telephone_number": "951-719-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA-TICZON",
        "first_name": "LOURDES",
        "middle_name": "REYES",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.