Elaine Teologo, LVN, CMT, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18490 Issued in CA

Practice address

1638 3Rd Ave
Oakland, CA 94606-1725

Phone

(310) 987-1453

NPI assigned

Jan 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1801217195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 3RD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061725",
            "telephone_number": "310-987-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 3RD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061725",
            "telephone_number": "310-987-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946064333",
            "country_code": "US",
            "telephone_number": "310-987-1453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEOLOGO",
        "first_name": "ELAINE",
        "credential": "LVN, CMT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "10423",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A. Tenney, MD
• Emily Tennison, MSW, LCSW
• Jonathan Tennison, ED.S., NCSP, LEP
• Selome W Tensaye
• Ami Chirstine Teodoro, MLP-PA
• Lauren Tepe
• Michael Terao
• Hiroshi Terashima, M.D.
• Kevin Hiroyuki Terashima, MD
• Joseph F. Terdiman, MD

• Acupuncturist in Oakland, CA
• Providers in Oakland, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.