Organization Active NPI

Meridian Acupuncture & Wellness Center Inc

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1790149458
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MERIDIAN ACUPUNCTURE & WELLNESS CENTER INC
Practice address
2831 Camino del Rio S
Suite 218
San Diego, CA 92108-3802
Phone
(619) 325-0771
Fax
(619) 876-5077
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Ms. Chantelle Yvette Deshazer, L.AC.NPI 1477628048
Title
Owner
Phone
(619) 325-0771

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2831 Camino del Rio S
Suite 218
San Diego, CA 92108-3802

Mailing address

2831 Camino del Rio S
Suite 218
San Diego, CA 92108-3802
Phone (619) 325-0771

National Provider Directory

National Provider Directory

Locations

2831 Camino del Rio S
Ste 218
San Diego, CA 92108
Phone (619) 325-0771

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": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1790149458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S",
            "address_2": "SUITE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083802",
            "telephone_number": "619-325-0771",
            "fax_number": "619-876-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S",
            "address_2": "SUITE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083802",
            "telephone_number": "619-325-0771",
            "fax_number": "619-876-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN ACUPUNCTURE & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "DESHAZER",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-325-0771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 2016; 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.