Individual provider Active NPI

Thomas Edward Ahlborn, PH.D. LAC

  • Acupuncturist
  • Walnut Creek, CA
National Provider Identifier
1689014342
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 15264 Issued in CA
Practice address
1111 Civic Dr
Suite 111
Walnut Creek, CA 94596-3895
Phone
(925) 977-1638
Fax
(925) 977-1639
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 15264 CA Primary

Addresses

Primary practice location

1111 Civic Dr
Suite 111
Walnut Creek, CA 94596-3895

Mailing address

1735 Westwood Dr
Concord, CA 94521-1233
Phone (925) 826-9102

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC 15264CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1689014342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 WESTWOOD DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211233",
            "telephone_number": "925-826-9102",
            "fax_number": "925-977-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CIVIC DR",
            "address_2": "SUITE 111",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963895",
            "telephone_number": "925-977-1638",
            "fax_number": "925-977-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLBORN",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D. LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.