Individual provider Active NPI

Renee Elizabeth Mink, DACM, LAC

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1760113062
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19425 Issued in CA
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

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
39619CAMDEndodontist
19425CAMDAcupuncturist

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.

Verify at the official NPI Registry.