Blythe Abbey, L.AC
Individual provider Active NPI Acupuncturist · Petaluma, CA
NPI 1740135409 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1740135409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC20536 (CA)
- Practice address
- 828 Parent Way
Petaluma, CA 94954-4539 - Phone
- (707) 478-4498
- NPI assigned
- Feb 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC20536 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC20536 | CA | Yes |
Addresses
Primary practice location
828 Parent Way
Petaluma, CA 94954-4539
Mailing address
828 Parent Way
Petaluma, CA 94954-4539
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.