Active NPI
Andy Alzamora, L.AC.
- Acupuncturist
- Salt Lake City, UT
National Provider Identifier
1801272240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12358027-1201
- Practice address
- 700 East 900 South
Suite B
Salt Lake City, UT 84105 - Phone
- (201) 734-1972
- NPI assigned
- Aug 7, 2015
- Last updated
- Jan 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00281100 | NJ | |
| Acupuncturist | 171100000X | 12358027-1201 | UT | Primary |
Addresses
Primary practice location
700 East 900 South
Suite B
Salt Lake City, UT 84105
Mailing address
2986 W Lehman Ave Apt 326
West Valley City, UT 84119-3621
Phone (201) 734-1972
Other practice location 1
3220 S State St
South Salt Lake, UT 84115-3836
Phone (201) 734-1972
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 |
|---|---|---|---|
| 12358027-1201 | UT | MD | Acupuncturist |
| 40QB00281100 | NJ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Acupuncture Injury Rejuvenation and Pain Management | Acupuncturist | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Salt Lake City, UT
- NPI 1831859180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1801272240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2986 W LEHMAN AVE APT 326",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193621",
"telephone_number": "201-734-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EAST 900 SOUTH",
"address_2": "SUITE B",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84105",
"telephone_number": "201-734-1972"
}
],
"practiceLocations": [
{
"address_1": "3220 S State St",
"address_purpose": "LOCATION",
"city": "South Salt Lake",
"state": "UT",
"postal_code": "841153836",
"country_code": "US",
"telephone_number": "201-734-1972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALZAMORA",
"first_name": "ANDY",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-07",
"last_updated": "2022-01-03",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00281100",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "UT",
"license": "12358027-1201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.