Organization Active NPI

Garden of Wellness Acupuncture

  • Acupuncturist
  • Palm Springs, CA
National Provider Identifier
1740369172
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8945 Issued in CA
Legal business name
GARDEN OF WELLNESS ACUPUNCTURE
Practice address
1276 N Palm Canyon Dr
Suite 208
Palm Springs, CA 92262-4411
Phone
(760) 325-7776
NPI assigned
Nov 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Petra Beatrice Moncrief, MTOM
Title
Licensed Acupuncturist
Phone
(760) 325-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC8945 CA Primary

Addresses

Primary practice location

1276 N Palm Canyon Dr
Suite 208
Palm Springs, CA 92262-4411

Mailing address

1276 N Palm Canyon Dr
Suite 208
Palm Springs, CA 92262-4411
Phone (760) 325-7776

Other identifiers 2

IdentifierTypeStateIssuer
1861447336OtherNPI
AC8945OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

1276 N Palm Canyon Dr
Ste 208
Palm Springs, CA 92262
Phone (760) 325-7776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1740369172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR",
            "address_2": "SUITE 208",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624411",
            "telephone_number": "760-325-7776",
            "fax_number": "760-325-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR",
            "address_2": "SUITE 208",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624411",
            "telephone_number": "760-325-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF WELLNESS ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MONCRIEF",
        "authorized_official_first_name": "PETRA",
        "authorized_official_middle_name": "BEATRICE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "760-325-7776",
        "authorized_official_credential": "MTOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861447336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AC8945",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.