Active NPI
Donald Reznicek, L. AC.
- Acupuncturist
- Larkspur, CA
National Provider Identifier
1639518335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 7432
- Practice address
- 1165 Magnolia Ave
Larkspur, CA 94939-1041 - Phone
- (415) 846-1238
- NPI assigned
- Jun 17, 2013
- Sex
- Male
- 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 | 7432 | CA | Primary |
Addresses
Primary practice location
1165 Magnolia Ave
Larkspur, CA 94939-1041
Mailing address
40 Cinnamon Teal LN
Novato, CA 94949-6611
Phone (415) 846-1238
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 |
|---|---|---|---|
| 7432 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1639518335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CINNAMON TEAL LN",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496611",
"telephone_number": "415-846-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 MAGNOLIA AVE",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391041",
"telephone_number": "415-846-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNICEK",
"first_name": "DONALD",
"name_prefix": "Mr.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "7432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.