Active NPI
R Scott Nanamura, LAC
- Acupuncturist
- S Lake Tahoe, CA
National Provider Identifier
1609056662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5974
- Practice address
- 2489 Lake Tahoe Blvd
Suite 28
S Lake Tahoe, CA 96150-7728 - Phone
- (530) 541-6392
- NPI assigned
- Nov 7, 2007
- Last updated
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC5974 | CA | Primary |
Addresses
Primary practice location
2489 Lake Tahoe Blvd
Suite 28
S Lake Tahoe, CA 96150-7728
Mailing address
PO Box 9579
S Lake Tahoe, CA 96158-2579
Phone (530) 541-6392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC5974 | Other | CA | CALIFORNIA LAC LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC5974 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Scott Nanamura Ac Inc | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- S Lake Tahoe, CA
- NPI 1871773838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1609056662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9579",
"city": "S LAKE TAHOE",
"state": "CA",
"postal_code": "961582579",
"telephone_number": "530-541-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 LAKE TAHOE BLVD",
"address_2": "SUITE 28",
"city": "S LAKE TAHOE",
"state": "CA",
"postal_code": "961507728",
"telephone_number": "530-541-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANAMURA",
"first_name": "R",
"middle_name": "SCOTT",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LAC LICENSE",
"identifier": "AC5974",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in S Lake Tahoe, CA
- Esther Ludia Kulecho-King
- Youngsyl Oh Lee, D.D.S.
- Mark Matthew Lehmann, OD
- Mountain Meadows Medical Group of California, Inc. (Tahoe Women's Care)
- Patricia Jane Murphy, RN PHN
- Maria D Quirarte
- R Scott Nanamura Ac Inc
- Richard N Alexander (Emerald Bay Physical Therapy)
- Ski Run Optometry by Dr. London, PC
- Kelsey J Targosz, M.S. PPS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.