Active NPI
Carmella Juliette Pingatore, L.AC., MSTOM
- Acupuncturist
- San Diego, CA
National Provider Identifier
1689966244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13419
- Practice address
- 3594 5TH Ave
San Diego, CA 92103-5017 - Phone
- (619) 549-4653
- NPI assigned
- May 13, 2011
- 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 | 13419 | CA | Primary |
Addresses
Primary practice location
3594 5TH Ave
San Diego, CA 92103-5017
Mailing address
3594 5TH Ave
San Diego, CA 92103-5017
Phone (619) 549-4653
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 |
|---|---|---|---|
| 13419 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1689966244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3594 5TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035017",
"telephone_number": "619-549-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3594 5TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035017",
"telephone_number": "619-549-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGATORE",
"first_name": "CARMELLA",
"middle_name": "JULIETTE",
"name_prefix": "Ms.",
"credential": "L.AC., MSTOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.