Active NPI
Roc Herbert Gantt, OMD,L.AC.
- Acupuncturist
- Sacramento, CA
National Provider Identifier
1790932796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- CM3027
- Practice address
- 5777 Madison Ave Ste 490
Sacramento, CA 95841-3303 - Phone
- (916) 349-9223
- Fax
- (916) 332-3429
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | CM3027 | CA | Primary |
Addresses
Primary practice location
5777 Madison Ave Ste 490
Sacramento, CA 95841-3303
Mailing address
5777 Madison Ave Ste 490
Sacramento, CA 95841-3303
Phone (916) 349-9223
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 |
|---|---|---|---|
| CM3027 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1790932796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 MADISON AVE STE 490",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413303",
"telephone_number": "916-349-9223",
"fax_number": "916-332-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 MADISON AVE STE 490",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413303",
"telephone_number": "916-349-9223",
"fax_number": "916-332-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "ROC",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "OMD,L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "CM3027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.