Active NPI
Megan Willdorf, L.A.C
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1679805865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7722
- Practice address
- 521 Precita Ave
San Francisco, CA 94110 - Phone
- (415) 713-5620
- NPI assigned
- Feb 12, 2010
- Sex
- Female
- 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 | AC7722 | CA | Primary |
Addresses
Primary practice location
521 Precita Ave
San Francisco, CA 94110
Mailing address
521 Precita Ave
San Francisco, CA 94110-4719
Phone (415) 713-5620
Other practice location 1
2460 Mission St
218
San Francisco, CA 94110-2467
Phone (415) 713-5620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC7722 | Other | CA | ACUPUNTURE LICENSE |
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 |
|---|---|---|---|
| AC7722 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1679805865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 PRECITA AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104719",
"telephone_number": "415-713-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 PRECITA AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-713-5620"
}
],
"practiceLocations": [
{
"address_1": "2460 Mission St",
"address_2": "218",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941102467",
"country_code": "US",
"telephone_number": "415-713-5620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLDORF",
"first_name": "MEGAN",
"name_prefix": "Miss",
"credential": "L.A.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNTURE LICENSE",
"identifier": "AC7722",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Keisha T Willard
- Margalo Willard
- Sandra Willard, PH.D.
- Katharine Willcoxon, NP
- Rebecca Kathleen Willden
- Liam John Willers
- Madelyn Willett
- William a. Price (Mission Bay Convalescent Hospital)
- William Cox Dental Corporation (Gentle Dental San Francisco)
- William Cox Dental Corporation (Gentle Dental Community San Francisco)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.