Organization Active NPI

Moonshadow Acupuncture a Professional Corporation

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1770165011
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MOONSHADOW ACUPUNCTURE A PROFESSIONAL CORPORATION
Practice address
3900 Irving St
San Francisco, CA 94122-1217
Phone
(415) 429-1567
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Rayna Leonora Savrosa, L.AC., DACMNPI 1699358663
Title
Director
Phone
(415) 429-1567

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3900 Irving St
San Francisco, CA 94122-1217

Mailing address

3900 Irving St
San Francisco, CA 94122-1217
Phone (415) 429-1567

National Provider Directory

National Provider Directory

Locations

3900 Irving St
San Francisco, CA 94122
Phone (415) 429-1567

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1770165011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221217",
            "telephone_number": "415-429-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221217",
            "telephone_number": "415-429-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSHADOW ACUPUNCTURE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "SAVROSA",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_middle_name": "LEONORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-429-1567",
        "authorized_official_credential": "L.AC., DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.