Individual provider Active NPI

Miriam Elizabeth Gilson, MSTOM, L.AC. C.SMA

  • Acupuncturist
  • Coronado, CA
National Provider Identifier
1619209194
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13094 Issued in CA
Practice address
1010 8TH St Ste B
Coronado, CA 92118-2189
Phone
(619) 634-9550
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 113798 CA
Acupuncturist 171100000X AC13094 CA Primary

Addresses

Primary practice location

1010 8TH St Ste B
Coronado, CA 92118-2189

Mailing address

1010 8TH St Ste B
Coronado, CA 92118-2189
Phone (619) 634-9550

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
113798CAMDAcupuncturist
AC13094CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1619209194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 8TH ST STE B",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182189",
            "telephone_number": "619-634-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 8TH ST STE B",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182189",
            "telephone_number": "619-634-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "MIRIAM",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSTOM, L.AC. C.SMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "113798",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.