Active NPI
Sandra Subotich, L.AC., DIPL. O.M.
- Acupuncturist
- Capitola, CA
National Provider Identifier
1639514219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 15338
- Practice address
- 4170 Gross Road Ext Ste 6
Capitola, CA 95010-2054 - Phone
- (831) 464-1605
- NPI assigned
- May 8, 2013
- 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 | AC 15338 | CA | Primary |
Addresses
Primary practice location
4170 Gross Road Ext Ste 6
Capitola, CA 95010-2054
Mailing address
1145 Hidden Valley Rd
Soquel, CA 95073-9708
Phone (847) 858-4491
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 |
|---|---|---|---|
| AC 15338 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a. Bernstein, DO Inc | Past | Accepting new patients | |
| Solis Acupuncture Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Aptos, CA
- NPI 1477657492
-
- Acupuncturist
- Capitola, CA
- NPI 1710248174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1639514219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 HIDDEN VALLEY RD",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950739708",
"telephone_number": "847-858-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 GROSS ROAD EXT STE 6",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102054",
"telephone_number": "831-464-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBOTICH",
"first_name": "SANDRA",
"credential": "L.AC., DIPL. O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 15338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.