Individual provider Active NPI

Jessica Erin Goldthorpe, L.AC.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1568895035
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15489 Issued in CA
Practice address
4320 Aragon Dr
San Diego, CA 92115-5803
Phone
(520) 548-5152
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15489 CA Primary

Addresses

Primary practice location

4320 Aragon Dr
San Diego, CA 92115-5803

Mailing address

4320 Aragon Dr
Suite 14
San Diego, CA 92115-5803
Phone (520) 548-5152

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
15489CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1568895035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 ARAGON DR",
            "address_2": "SUITE 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155803",
            "telephone_number": "520-548-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 ARAGON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155803",
            "telephone_number": "520-548-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTHORPE",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15489",
            "primary": true
        }
    ],
    "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 Dec 17, 2015; 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.