Individual provider Active NPI

Paul D Gamache, L.AC.

  • Acupuncturist
  • La Jolla, CA
National Provider Identifier
1811220619
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13199 Issued in CA
Practice address
7855 Fay Ave
Suite 290
La Jolla, CA 92037-4265
Phone
(858) 459-5900
NPI assigned
Sep 10, 2009
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13199 CA Primary

Addresses

Primary practice location

7855 Fay Ave
Suite 290
La Jolla, CA 92037-4265

Mailing address

7855 Fay Ave
Suite 290
La Jolla, CA 92037-4265
Phone (858) 459-5900

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

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1811220619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE",
            "address_2": "SUITE 290",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374265",
            "telephone_number": "858-459-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE",
            "address_2": "SUITE 290",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374265",
            "telephone_number": "858-459-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.