Itzel Coronado, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18400 Issued in CA

Practice address

21040 Homestead Rd Ste 102
Cupertino, CA 95014-0238

Phone

(408) 413-8315

Fax

(408) 743-5445

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1780141317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 LOCHNER DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274765",
            "telephone_number": "408-413-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 HOMESTEAD RD STE 102",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140238",
            "telephone_number": "408-413-8315",
            "fax_number": "408-743-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "ITZEL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Constant
• Conway Acupuncture Massage Cupping Therapy
• Nisha Cornel
• Michael Joseph Cornelison, D.P.M.
• Martina Nekoksa Cornell, NP
• Victor Frank Corsiglia, PH.D.
• Donna Marie Cotner, D.D.S.
• Counseling Psychologists, Inc.
• Meredith Coursen, PT, DPT, COMT
• Hrisula Cristea, DDS

• Acupuncturist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.