Individual provider Active NPI

Carla L Sandiego, L.AC.

  • Acupuncturist
  • Dover, NH
National Provider Identifier
1619306743
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
337 Issued in NH
Practice address
130 Central Ave Ste 2C
Dover, NH 03820-4042
Phone
(603) 684-2413
Fax
(603) 750-9136
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000783 CT
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 25MZ00102700 NJ
Acupuncturist 171100000X 337 NH Primary

Addresses

Primary practice location

130 Central Ave Ste 2C
Dover, NH 03820-4042

Mailing address

130 Central Ave Ste 2C
Dover, NH 03820-4042
Phone (603) 684-2413

Other names 1

  • Carla L San Diego Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
337NHMDAcupuncturist
25MZ00102700NJMDAcupuncturist
000783CTMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Currents Acupuncture Clinic Acupuncturist PastSince May 1, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1619306743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTRAL AVE STE 2C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204042",
            "telephone_number": "603-684-2413",
            "fax_number": "603-750-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTRAL AVE STE 2C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204042",
            "telephone_number": "603-684-2413",
            "fax_number": "603-750-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIEGO",
        "first_name": "CARLA",
        "middle_name": "L",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000783",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00102700",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NH",
            "license": "337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "SAN DIEGO",
            "middle_name": "L",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.