Active NPI
San Diego Acupuncture and Natural Medicine
- Acupuncturist
- San Diego, CA
National Provider Identifier
1750695128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 8921
- Legal business name
- SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE
- Practice address
- 3636 4TH Ave Ste 210
San Diego, CA 92103-4237 - Phone
- (619) 501-5654
- Fax
- (619) 785-3387
- NPI assigned
- Jul 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darcy Divanterra, ND, LAC
- Title
- Practitioner, Owner
- Phone
- (619) 887-0610
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 8921 | CA | Primary |
Addresses
Primary practice location
3636 4TH Ave Ste 210
San Diego, CA 92103-4237
Mailing address
3636 4TH Ave Ste 210
San Diego, CA 92103-4237
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ23467P | Other | BLUE SHIELD OF CALIFORNIA | |
| ZZZ55242Y | Other | CA | BLUE SHIELD OF CALIFORNIA |
National Provider Directory
National Provider Directory- Tax ID family
- San Diego Acupuncture and Natural Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Acupuncturist
- San Diego, CA
- NPI 1770813412
Locations
3636 4th Ave
Ste 210
San Diego, CA 92103
Phone (619) 220-7680
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- San Diego, CA
- NPI 1073666186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1750695128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 4TH AVE STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 4TH AVE STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034237",
"telephone_number": "619-501-5654",
"fax_number": "619-785-3387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-28",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "DIVANTERRA",
"authorized_official_first_name": "DARCY",
"authorized_official_title_or_position": "PRACTITIONER, OWNER",
"authorized_official_telephone_number": "619-887-0610",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND, LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "8921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ23467P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ55242Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.