Boutique Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

338854 Issued in CA

Legal business name

BOUTIQUE ACUPUNCTURE

Practice address

1800 Professional Dr
Sacramento, CA 95825-2164

Phone

(916) 473-7602

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Matthew Nadeau

Title

General Manager

Phone

(916) 473-7602

Specialties & licenses 1

Addresses

Tax ID family

Boutique Acupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boutique Acupuncture

  • Acupuncturist
  • Sacramento, CA
  • NPI 1689812158
  NPD tax ID

Locations

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1578701959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252164",
            "telephone_number": "916-473-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252164",
            "telephone_number": "916-473-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTIQUE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "916-473-7602"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "338854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Bourn
• Carl Winston Bourne, M.D.
• Danielle Alexius Boushey
• Tenaya Bousnavang
• Frank J. Boutin Jr., M.D.
• Boutique Acupuncture
• Matthew Adel Boutros, DO
• Natasha Boutte
• Dominique Zenaida Bouza
• Vanessa Oliana Bovee

• Acupuncturist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.