Active NPI
Mark Allen Flower, L.AC.
- Acupuncturist
- Santa Rosa, CA
National Provider Identifier
1659454106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC8985
- Practice address
- 1549 Pacific Ave
Santa Rosa, CA 95404-3507 - Phone
- (707) 546-8880
- NPI assigned
- Oct 20, 2006
- 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 | AC8985 | CA | Primary |
Addresses
Primary practice location
1549 Pacific Ave
Santa Rosa, CA 95404-3507
Mailing address
1549 Pacific Ave
Santa Rosa, CA 95404-3507
Phone (707) 546-8880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0089850 | Other | CA | PROVIDER MEDICAL NUM |
| AC8985 | Other | CA | ACUPUNCTURE LICENSE NUM |
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 |
|---|---|---|---|
| AC8985 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659454106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 PACIFIC AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043507",
"telephone_number": "707-546-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 PACIFIC AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043507",
"telephone_number": "707-546-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWER",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC8985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER MEDICAL NUM",
"identifier": "AC0089850",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE NUM",
"identifier": "AC8985",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.