Active NPI
Jared Valenzuela, L.AC.
- Acupuncturist
- Stockton, CA
National Provider Identifier
1720627656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC18672
- Practice address
- 3663 Arch Rd
Stockton, CA 95215-8315 - Phone
- (209) 943-2202
- NPI assigned
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 | AC18672 | CA | Primary |
Addresses
Primary practice location
3663 Arch Rd
Stockton, CA 95215-8315
Mailing address
1948 Longdon Dr
Stockton, CA 95206-4697
Phone (209) 601-5072
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 |
|---|---|---|---|
| AC18672 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1720627656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1948 LONGDON DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952064697",
"telephone_number": "209-601-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 ARCH RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952158315",
"telephone_number": "209-943-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "JARED",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC18672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.