Individual provider Active NPI

Jonathan Suarez, DACM, LAC

  • Acupuncturist
  • Belmont, CA
National Provider Identifier
1770191637
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18898 Issued in CA
Practice address
881 Ralston Ave
Belmont, CA 94002-2205
Phone
(650) 444-8771
NPI assigned
Jul 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18898 CA Primary

Addresses

Primary practice location

881 Ralston Ave
Belmont, CA 94002-2205

Mailing address

61 Kenton Ave
San Carlos, CA 94070-1748
Phone (650) 444-8771

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jsuarezwp@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Functional Medicine & Acupuncture Inc. Acupuncturist CurrentSince Aug 30, 2020 Accepting new patients

Locations

881 Ralston Ave
Belmont, CA 94002
Phone (650) 444-8771

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1770191637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 KENTON AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940701748",
            "telephone_number": "650-444-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022205",
            "telephone_number": "650-444-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DACM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jsuarezwp@gmail.com",
            "affiliation": "N",
            "address_1": "881 Ralston Ave",
            "city": "Belmont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940022205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.