Organization Active NPI

Casa Zen Acupuncture Inc

  • Acupuncturist
  • Bonita, CA
National Provider Identifier
1639633316
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CASA ZEN ACUPUNCTURE INC
Practice address
4190 Bonita Rd Ste 209
Bonita, CA 91902-1340
Phone
(619) 925-2017
NPI assigned
Jan 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Authorized official

Name
Jeanette M Carranza Islas, LAC, MSTOMNPI 1952962078
Title
Acupuncturist
Phone
(619) 925-2017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4190 Bonita Rd Ste 209
Bonita, CA 91902-1340

Mailing address

1129 Pacific Grove Loop
Chula Vista, CA 91915-2114
Phone (619) 587-2331

National Provider Directory

National Provider Directory

Locations

4190 Bonita Rd
Ste 209
Bonita, CA 91902
Phone (619) 587-2331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548460800000",
    "number": "1639633316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 PACIFIC GROVE LOOP",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152114",
            "telephone_number": "619-587-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 BONITA RD STE 209",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021340",
            "telephone_number": "619-925-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA ZEN ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A",
        "authorized_official_last_name": "CARRANZA ISLAS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "619-925-2017",
        "authorized_official_credential": "LAC, MSTOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.