Individual provider Active NPI

Christabel G. Tabbada, L.AC.

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1699963017
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8611 Issued in CA
Practice address
568 NE Savannah Dr Ste 5
Bend, OR 97701-4866
Phone
(541) 668-1881
Fax
(888) 658-6924
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8611 CA Primary

Addresses

Primary practice location

568 NE Savannah Dr Ste 5
Bend, OR 97701-4866

Mailing address

2660 NE Highway 20 Ste 610-447
Bend, OR 97701-6402
Phone (949) 355-3868

Other identifiers 2

IdentifierTypeStateIssuer
AC192976OtherOROREGON MEDICAL BOARD
AC8611OtherCACA ACUPUNCTURE 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

LicenseStateTypeSpecialty
AC8611CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Center for Integrative Health and Wellness LLC Acupuncturist CurrentSince May 31, 2020 Accepting new patients

Locations

568 NE Savannah Dr
Ste 5
Bend, OR 97701
Phone (541) 382-0000

2660 NE Highway 20
Ste 610447
Bend, OR 97701

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1699963017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 NE HIGHWAY 20 STE 610-447",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016402",
            "telephone_number": "949-355-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 NE SAVANNAH DR STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014866",
            "telephone_number": "541-668-1881",
            "fax_number": "888-658-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBADA",
        "first_name": "CHRISTABEL",
        "middle_name": "G.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "AC192976",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA ACUPUNCTURE LICENSE",
            "identifier": "AC8611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.