Organization Active NPI

Kumo Acupuncture and Oriental Medicine

  • Health Service Clinic/Center
  • Walla Walla, WA
National Provider Identifier
1649833179
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KUMO ACUPUNCTURE AND ORIENTAL MEDICINE
Practice address
214 E Birch St Ste 4
Walla Walla, WA 99362-3043
Phone
(503) 318-9490
Fax
(509) 209-9094
NPI assigned
Apr 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Roberto Masferrer, LACNPI 1609173509
Title
Provider
Phone
(503) 318-9490

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

214 E Birch St Ste 4
Walla Walla, WA 99362-3043

Mailing address

214 E Birch St Ste 4
Walla Walla, WA 99362-3043
Phone (503) 318-9490

National Provider Directory

National Provider Directory

Locations

214 E Birch St
Ste 4
Walla Walla, WA 99362
Phone (509) 522-0114

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": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1649833179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E BIRCH ST STE 4",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623043",
            "telephone_number": "503-318-9490",
            "fax_number": "509-209-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E BIRCH ST STE 4",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623043",
            "telephone_number": "503-318-9490",
            "fax_number": "509-209-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMO ACUPUNCTURE AND ORIENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "MASFERRER",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "503-318-9490",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.