Organization Active NPI

Wellspring Integrative Health & Acupuncture

  • Acupuncturist
  • Sebastopol, CA
National Provider Identifier
1639880149
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WELLSPRING INTEGRATIVE HEALTH & ACUPUNCTURE
Practice address
130 Petaluma Ave Ste 2E
Sebastopol, CA 95472-4234
Phone
(707) 492-5356
Fax
(707) 492-5349
NPI assigned
Dec 6, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Dr. James Fialk, L.AC, NDNPI 1881946028
Title
President, Ceo
Phone
(707) 492-5356

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary
Naturopath 175F00000X

Addresses

Primary practice location

130 Petaluma Ave Ste 2E
Sebastopol, CA 95472-4234

Mailing address

101 Oretsky Way
Cotati, CA 94931-5327

National Provider Directory

National Provider Directory

Locations

130 Petaluma Ave
Ste 2E
Sebastopol, CA 95472
Phone (707) 492-5356

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1639880149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ORETSKY WAY",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949315327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PETALUMA AVE STE 2E",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724234",
            "telephone_number": "707-492-5356",
            "fax_number": "707-492-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING INTEGRATIVE HEALTH & ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "FIALK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "707-492-5356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC, ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.