Individual provider Active NPI

Ava J Zack, LAC

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1770226912
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16645 Issued in CA
Practice address
1537 Pacific Ave Ste 300H
Santa Cruz, CA 95060-3982
Phone
(831) 401-5141
Fax
(831) 401-5143
NPI assigned
Apr 15, 2022
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 847406 NU
Acupuncturist 171100000X 16645 CA Primary

Addresses

Primary practice location

1537 Pacific Ave Ste 300H
Santa Cruz, CA 95060-3982

Mailing address

PO Box 5671
Santa Cruz, CA 95063-5671
Phone (831) 345-1244

Other practice location 1

320 River St
Santa Cruz, CA 95060-2723
Phone (831) 824-7848

Other practice location 2

4170 Gross Road Ext Ste 6
Capitola, CA 95010-2054
Phone (831) 464-1605

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
16645CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ava Zack Acupuncture Inc CurrentSince Oct 22, 2023 Accepting new patients
Richard a. Bernstein, DO Inc PastSince Jun 30, 1994 Accepting new patients
Solis Acupuncture Inc. Acupuncturist Past Accepting new patients
Solis Acupuncture Inc. Acupuncturist PastSince Nov 16, 2021 Accepting new patients

Locations

1537 Pacific Ave
Ste 300H
Santa Cruz, CA 95060
Phone (831) 401-5141

320 River St
Santa Cruz, CA 95060
Phone (831) 239-5854

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1770226912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5671",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950635671",
            "telephone_number": "831-345-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 PACIFIC AVE STE 300H",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603982",
            "telephone_number": "831-401-5141",
            "fax_number": "831-401-5143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 River St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950602723",
            "country_code": "US",
            "telephone_number": "831-824-7848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4170 Gross Road Ext Ste 6",
            "address_purpose": "LOCATION",
            "city": "Capitola",
            "state": "CA",
            "postal_code": "950102054",
            "country_code": "US",
            "telephone_number": "831-464-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACK",
        "first_name": "AVA",
        "middle_name": "J",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": "847406",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.