Individual provider Active NPI

Abigail Surasky, L.AC.

  • Acupuncturist
  • Berkeley, CA
National Provider Identifier
1780928432
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3154 Issued in CA
Practice address
1911 Addison St Ste 102
Berkeley, CA 94704-1267
Phone
(510) 845-8017
Fax
(844) 649-0670
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC3154 CA Primary

Addresses

Primary practice location

1911 Addison St Ste 102
Berkeley, CA 94704-1267

Mailing address

2206 Grant St
Berkeley, CA 94703-1714
Phone (510) 845-8017

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
AC3154CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Services CurrentSince Jun 3, 2025 Accepting new patients
Whole Health Services Acupuncture Corp Acupuncturist CurrentSince Jul 9, 2023 Accepting new patients

Locations

1700 Shattuck Ave
Ste 2
Berkeley, CA 94709
Phone (415) 813-7688

Organizations & group practices 2

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1780928432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 GRANT ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031714",
            "telephone_number": "510-845-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 ADDISON ST STE 102",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041267",
            "telephone_number": "510-845-8017",
            "fax_number": "844-649-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURASKY",
        "first_name": "ABIGAIL",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.