Individual provider Active NPI

Lynn Anne Buczek, L.AC.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1639353543
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11906 Issued in CA
Practice address
2615 Camino del Rio S
Suite 201
San Diego, CA 92108-3713
Phone
(619) 542-0884
Fax
(619) 542-0949
NPI assigned
Dec 27, 2007
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11906 CA Primary

Addresses

Primary practice location

2615 Camino del Rio S
Suite 201
San Diego, CA 92108-3713

Mailing address

2615 Camino del Rio S
Suite 201
San Diego, CA 92108-3713
Phone (619) 542-0884

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
AC11906CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1639353543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CAMINO DEL RIO S",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083713",
            "telephone_number": "619-542-0884",
            "fax_number": "619-542-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CAMINO DEL RIO S",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083713",
            "telephone_number": "619-542-0884",
            "fax_number": "619-542-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCZEK",
        "first_name": "LYNN",
        "middle_name": "ANNE",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.