Individual provider Active NPI

Diana Shkolnik, L.AC.

  • Massage Therapist
  • San Francisco, CA
National Provider Identifier
1821165119
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
2886 Geary Blvd
Suite #204
San Francisco, CA 94118-3454
Phone
(415) 771-2389
Fax
(415) 771-2389
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X CA Primary
Acupuncturist 171100000X AC7626 CA

Addresses

Primary practice location

2886 Geary Blvd
Suite #204
San Francisco, CA 94118-3454

Mailing address

1647 42ND Ave
San Francisco, CA 94122-3043
Phone (415) 665-1111

Other identifiers 1

IdentifierTypeStateIssuer
9638135MedicaidCA

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
AC7626CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821165119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 42ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223043",
            "telephone_number": "415-665-1111",
            "fax_number": "415-665-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 GEARY BLVD",
            "address_2": "SUITE #204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183454",
            "telephone_number": "415-771-2389",
            "fax_number": "415-771-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKOLNIK",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9638135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.