Organization Active NPI

Acupuncture Herbal Center

  • Acupuncturist
  • San Rafael, CA
National Provider Identifier
1659817419
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC1488 Issued in CA
Legal business name
ACUPUNCTURE HERBAL CENTER
Practice address
824 5TH Ave
Suite C
San Rafael, CA 94901-3257
Phone
(415) 485-5834
Fax
(415) 456-2636
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Deirdra Claiborne, L.AC.NPI 1669753414
Title
Owner
Phone
(415) 485-5834

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 AC1592 CA
Acupuncturist 171100000X AC1488 CA Primary

Addresses

Primary practice location

824 5TH Ave
Suite C
San Rafael, CA 94901-3257

Mailing address

824 5TH Ave
Suite C
San Rafael, CA 94901-3257
Phone (415) 485-5834

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1659817419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 5TH AVE",
            "address_2": "SUITE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013257",
            "telephone_number": "415-485-5834",
            "fax_number": "415-456-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 5TH AVE",
            "address_2": "SUITE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013257",
            "telephone_number": "415-485-5834",
            "fax_number": "415-456-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE HERBAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CLAIBORNE",
        "authorized_official_first_name": "DEIRDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-485-5834",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC1592",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC1488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.