Anca Marissa Sira, L.AC, FABORM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC6952 Issued in CA

Practice address

432 N Mount Shasta Blvd Ste a
Mount Shasta, CA 96067-2910

Phone

(628) 888-4881

Fax

(530) 686-7952

NPI assigned

May 4, 2009

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ama Acupuncture Inc

  dba Ama Wellness Center

  • Acupuncturist
  • Mount Shasta, CA
  • NPI 1518430347
  NPD (past)

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1710111844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960670959",
            "telephone_number": "628-888-4881",
            "fax_number": "530-686-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 N MOUNT SHASTA BLVD STE A",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672910",
            "telephone_number": "628-888-4881",
            "fax_number": "530-686-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRA",
        "first_name": "ANCA",
        "middle_name": "MARISSA",
        "credential": "L.AC, FABORM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasta Mountain Shuttle and Tours LLC
• Shasta Vision Group an Optometric Corporation
• Kevin Shearer, D.D.S.
• L. Richard Shearer, M.D.
• Grover Gene Shipman, MD
• Siskiyou Union High School District
• Siskiyou Wellness Community Mental Health
• Nathan Sivananda, D.C.
• Kelsey Sloat
• Curtis Nathaniel Smith Sr., MD

• Acupuncturist in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.