Forget Me Not Acupuncture and Herbs, a Professional Corporation

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

FORGET ME NOT ACUPUNCTURE AND HERBS, A PROFESSIONAL CORPORATION

Practice address

765 San Antonio Rd Apt 63
Palo Alto, CA 94303-4818

Phone

(650) 283-6524

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Simone Claudia Campbell, L.AC., DTCM

Title

President

Phone

(650) 283-6524

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1720656861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 SAN ANTONIO RD APT 63",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034818",
            "telephone_number": "650-283-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 SAN ANTONIO RD APT 63",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034818",
            "telephone_number": "650-283-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGET ME NOT ACUPUNCTURE AND HERBS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-283-6524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC., DTCM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen White Ford, LCSW, MSW, MPH
• Mackenzie A Ford, MD
• Yassmin Benon Ford
• Forensic Medicolegal Experts Inc
• Juan Pablo Forero, MD
• Emily A Forman, RD
• Linden Elizabeth Fornoff, M.D.
• Souren Forouhi, M.D.
• Joseph Derek Forrester, M.D.
• Sarah Forsberg

• Acupuncturist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.