Individual provider Active NPI

Marta Vaisberg Correll, L.AC.

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1720491764
Registry record updated Jun 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC-16116 Issued in CA
Practice address
2222 E Cliff Dr Ste 216
Santa Cruz, CA 95062-4739
Phone
(831) 419-6036
NPI assigned
Jun 7, 2014
Last updated
Jun 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2014

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-16116 CA Primary

Addresses

Primary practice location

2222 E Cliff Dr Ste 216
Santa Cruz, CA 95062-4739

Mailing address

113 Cypress Ave
Santa Cruz, CA 95062-3710
Phone (831) 419-6036

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-16116CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402099200000",
    "number": "1720491764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CYPRESS AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623710",
            "telephone_number": "831-419-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E CLIFF DR STE 216",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624739",
            "telephone_number": "831-419-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRELL",
        "first_name": "MARTA",
        "middle_name": "VAISBERG",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2014-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC-16116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; 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.