The Healing Sanctuary Spa, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10904 Issued in CA

Legal business name

THE HEALING SANCTUARY SPA, INC

Practice address

400 N Tustin Ave
Suite 380
Santa Ana, CA 92705-3813

Phone

(714) 730-2233

Fax

(714) 730-2768

NPI assigned

Feb 26, 2011

Last updated

Feb 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Jean Jacobson, LACNPI 1649480070

Title

President/Ceo

Phone

(714) 730-2233

Specialties & licenses 1

Addresses

Locations

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.

• Pamela Jean Jacobson, LAC

  • Acupuncturist
  • Santa Ana, CA
  • NPI 1649480070
  NPD (past) Authorized official
• Caroline La, L.AC.

  • Acupuncturist
  • North Tustin, CA
  • NPI 1437448420
  NPD (past)
• Raina Tsuda, DAOM, L.AC.

  • Acupuncturist
  • Tustin, CA
  • NPI 1649508151
  NPD (past)

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298678400000",
    "number": "1679870638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE",
            "address_2": "SUITE 380",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053813",
            "telephone_number": "714-730-2233",
            "fax_number": "714-730-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE",
            "address_2": "SUITE 380",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053813",
            "telephone_number": "714-730-2233",
            "fax_number": "714-730-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING SANCTUARY SPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-26",
        "last_updated": "2011-02-26",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-730-2233",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.