Jacinta Fisher Wagoner, DACM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

20673 Issued in CA

Practice address

12439 Poway Rd Ste C
Poway, CA 92064-4317

Phone

(858) 436-6054

NPI assigned

Jun 26, 2026

Sex

Female

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": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1619893344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 CARINGA WAY UNIT C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096343",
            "telephone_number": "858-436-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12439 POWAY RD STE C",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644317",
            "telephone_number": "858-436-6054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 Caringa Way Unit C",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920096343",
            "country_code": "US",
            "telephone_number": "858-436-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGONER",
        "first_name": "JACINTA",
        "middle_name": "FISHER",
        "name_prefix": "Dr.",
        "credential": "DACM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Vuong
• Joycelyn Wade
• Ashish Kumar Wadhwa, MD
• Ward Frederick Wagenseller, RN, EMT-P
• Karie Wagnon
• Walgreen Co
• Raihana Wali
• David John Walker, RN
• Kristie Lynn Walker, L.AC.
• Theresa M. Walker, LCSW

• Acupuncturist in Poway, CA
• Providers in Poway, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.