NPIMap

Organization Active NPI

San Diego Acupuncture and Natural Medicine

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1770813412
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
8921 Issued in CA
Legal business name
SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE
Practice address
3636 4TH Ave Ste 210
San Diego, CA 92103-4237
Phone
(619) 501-5654
Fax
(619) 785-3387
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Darcy Marie DivanterraNPI 1073666186
Title
Practitioner
Phone
(619) 887-0610

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 8921 CA Primary
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X CA115 CA

Addresses

Primary practice location

3636 4TH Ave Ste 210
San Diego, CA 92103-4237

Mailing address

3636 4TH Ave Ste 210
San Diego, CA 92103-4237
Phone (619) 887-0610

Other identifiers 2

IdentifierTypeStateIssuer
1073666186OtherCANPI
1750695128OtherCANPI

National Provider Directory

National Provider Directory
Tax ID family
San Diego Acupuncture and Natural Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1770813412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 4TH AVE STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034237",
            "telephone_number": "619-887-0610",
            "fax_number": "619-785-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 4TH AVE STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034237",
            "telephone_number": "619-501-5654",
            "fax_number": "619-785-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "DIVANTERRA",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "619-887-0610"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "8921",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "CA115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073666186",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750695128",
            "state": "CA"
        }
    ],
    "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 Nov 14, 2017; 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.