Gary Williams II, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17575 Issued in CA

Practice address

3225 4TH Ave
San Diego, CA 92103-5701

Phone

(619) 794-9078

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1588190318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 REFLECTION DR APT 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243182",
            "telephone_number": "619-794-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035701",
            "telephone_number": "619-794-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Williams
• Ebonie Williams
• Elizabeth Marie Williams
• Elliot Christopher Williams, M.D.
• Emilee Williams
• Gary John Williams
• Gerald J Williams, DA
• Gloria Amy Williams
• Gwendolyn Williams
• Harriet S Williams, PT

• 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 11, 2017; 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.