Tara Marie Shah, DACM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC19420 Issued in CA

Practice address

16516 Bernardo Center Dr Ste 320
San Diego, CA 92128-2552

Phone

(619) 289-7757

Fax

(619) 353-0553

NPI assigned

Jul 7, 2022

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tara Acupuncture & Wellness Inc

  • Acupuncturist
  • San Diego, CA
  • NPI 1285330928
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1578296455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16516 BERNARDO CENTER DR STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16516 BERNARDO CENTER DR STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282552",
            "telephone_number": "619-289-7757",
            "fax_number": "619-353-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DACM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema D. Shah, M.D.
• Shailja Chandresh Shah, MD
• Shbeena Shah, DDS
• Shivani Pankaj Shah, PHARM.D., R.PH.
• Sunit Rajit Shah, DO
• Vidisha Ketanbhai Shah
• Virag Jagdish Shah, M.D.
• Zalak Shah, D.P.T.
• Aarish Shahab, MD
• Maryam Shahamfar, MD

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.