Active NPI
Renee Elizabeth Mink, DACM, LAC
- Acupuncturist
- San Diego, CA
National Provider Identifier
1760113062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19425
- Practice address
- 2333 1St Ave Ste 201
San Diego, CA 92101-1594 - Phone
- (619) 333-9845
- NPI assigned
- Jun 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 39619 | CA | |
| Acupuncturist | 171100000X | 19425 | CA | Primary |
Addresses
Primary practice location
2333 1St Ave Ste 201
San Diego, CA 92101-1594
Mailing address
4642 Utah St Unit 8
San Diego, CA 92116-3179
Phone (619) 333-9845
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39619 | CA | MD | Endodontist |
| 19425 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1760113062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4642 UTAH ST UNIT 8",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921163179",
"telephone_number": "619-333-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 1ST AVE STE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011594",
"telephone_number": "619-333-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINK",
"first_name": "RENEE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DACM, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-19",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "39619",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19425",
"primary": true
}
],
"identifiers": [],
"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 Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.