Ingrid Peterson, L.Ac.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14919 Issued in CA

Legal business name

INGRID PETERSON, L.AC.

Practice address

2460 Mission St
Suite 104
San Francisco, CA 94110-2467

Phone

(510) 473-7179

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Ingrid Peterson, L.AC.

Title

Owner

Phone

(510) 473-7179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1679007041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST",
            "address_2": "SUITE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102467",
            "telephone_number": "510-473-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST",
            "address_2": "SUITE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102467",
            "telephone_number": "510-473-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID PETERSON, L.AC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-473-7179",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.