Individual provider Active NPI

Erica Dawn Appenzeller, LAC

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1780828384
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12711 Issued in CA
Practice address
3555 Kenyon St Ste 100
San Diego, CA 92110-5341
Phone
(619) 549-4964
NPI assigned
Apr 27, 2009
Last updated
Jan 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12711 CA Primary

Addresses

Primary practice location

3555 Kenyon St Ste 100
San Diego, CA 92110-5341

Mailing address

4032 Valeta St Unit 315
San Diego, CA 92110-5818
Phone (619) 549-4964

Other practice location 1

2630 1st Ave
San Diego, CA 92103-6599
Phone (619) 234-2158

Other names 1

  • Ms. Erica Dawn Appenzeller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC12711CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego American Indian Health Center Acupuncturist Past Accepting new patients
Ortega Chiropractic, Inc. PastSince Jun 14, 2017 Accepting new patients
Paul J Marsh Chiropractic Corporation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

Organizations & group practices 3

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": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1780828384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 VALETA ST UNIT 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105818",
            "telephone_number": "619-549-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KENYON ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105341",
            "telephone_number": "619-549-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 1st Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921036599",
            "country_code": "US",
            "telephone_number": "619-234-2158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPENZELLER",
        "first_name": "ERICA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "APPENZELLER",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.