Active NPI
Susan Brooks Carter, L.AC.
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1790165223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 265636
- Practice address
- 3380 20TH St Ste 102
San Francisco, CA 94110 - Phone
- (415) 255-2252
- NPI assigned
- May 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 265636 | MA | Primary |
| Acupuncturist | 171100000X | AC 16189 | CA |
Addresses
Primary practice location
3380 20TH St Ste 102
San Francisco, CA 94110
Mailing address
37 Kingston Rd
Kensington, CA 94707-1321
Phone (510) 359-7080
Other practice location 1
1738 Solano Ave
Berkeley, CA 94707
Phone (510) 359-7080
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 16189 | CA | MD | Acupuncturist |
| 265636 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Double Happiness Health, Inc. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- San Francisco, CA
- NPI 1316289663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1790165223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 KINGSTON RD",
"city": "KENSINGTON",
"state": "CA",
"postal_code": "947071321",
"telephone_number": "510-359-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 20TH ST STE 102",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-255-2252"
}
],
"practiceLocations": [
{
"address_1": "1738 Solano Ave",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "94707",
"country_code": "US",
"telephone_number": "510-359-7080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "SUSAN",
"middle_name": "BROOKS",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-29",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "265636",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 16189",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.