Individual provider Active NPI

Saralyse Chantel Kissler, L.AC.

  • Acupuncturist
  • Capitola, CA
National Provider Identifier
1730487877
Registry record updated Mar 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13342 Issued in CA
Practice address
1220 41St Ave
Suite I
Capitola, CA 95010-3933
Phone
(831) 406-1319
Fax
(831) 462-2357
NPI assigned
Mar 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13342 CA Primary

Addresses

Primary practice location

1220 41St Ave
Suite I
Capitola, CA 95010-3933

Mailing address

212 San Jose Ave
Santa Cruz, CA 95060-6218
Phone (831) 234-9381

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
13342CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299974400000",
    "number": "1730487877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SAN JOSE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606218",
            "telephone_number": "831-234-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 41ST AVE",
            "address_2": "SUITE I",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103933",
            "telephone_number": "831-406-1319",
            "fax_number": "831-462-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSLER",
        "first_name": "SARALYSE",
        "middle_name": "CHANTEL",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-13",
        "last_updated": "2011-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2011; 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.