Active NPI
Monica Walters, L.AC.
- Acupuncturist
- Santa Rosa, CA
National Provider Identifier
1619385010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16009
- Practice address
- 1120 Montgomery Dr
Suite D
Santa Rosa, CA 95405-4815 - Phone
- (916) 741-2960
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | AC16009 | CA | Primary |
Addresses
Primary practice location
1120 Montgomery Dr
Suite D
Santa Rosa, CA 95405-4815
Mailing address
1120 Montgomery Dr
Suite D
Santa Rosa, CA 95405-4815
Phone (916) 741-2960
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 |
|---|---|---|---|
| AC16009 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1619385010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 MONTGOMERY DR",
"address_2": "SUITE D",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054815",
"telephone_number": "916-741-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 MONTGOMERY DR",
"address_2": "SUITE D",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054815",
"telephone_number": "916-741-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "MONICA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.