Individual provider Active NPI

Jill Vail Jancic, L.AC.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1699127514
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 17011 Issued in CA
Practice address
17666 Montero Rd
San Diego, CA 92128-2369
Phone
(760) 473-5351
NPI assigned
Jul 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

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 17011 CA Primary

Addresses

Primary practice location

17666 Montero Rd
San Diego, CA 92128-2369

Mailing address

17666 Montero Rd
San Diego, CA 92128-2369
Phone (760) 473-5351

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

LicenseStateTypeSpecialty
AC 17011CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467417600000",
    "number": "1699127514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17666 MONTERO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282369",
            "telephone_number": "760-473-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17666 MONTERO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282369",
            "telephone_number": "760-473-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCIC",
        "first_name": "JILL",
        "middle_name": "VAIL",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-02",
        "last_updated": "2016-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 17011",
            "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 Jul 2, 2016; 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.