Individual provider Active NPI

Wanda Lauren Emiko Dabkoska, L.AC.

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1811352859
Registry record updated Apr 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16822 Issued in CA
Practice address
339 15TH St
Suite 333
Oakland, CA 94612-3365
Phone
(510) 922-0313
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16822 CA Primary

Addresses

Primary practice location

339 15TH St
Suite 333
Oakland, CA 94612-3365

Mailing address

888 Vermont St
#311
Oakland, CA 94610-2157
Phone (510) 459-0863

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

LicenseStateTypeSpecialty
16822CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461369600000",
    "number": "1811352859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 VERMONT ST",
            "address_2": "#311",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102157",
            "telephone_number": "510-459-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 15TH ST",
            "address_2": "SUITE 333",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123365",
            "telephone_number": "510-922-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABKOSKA",
        "first_name": "WANDA LAUREN",
        "middle_name": "EMIKO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2016-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; 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.