Active NPI
Michael D. Corradino, DAOC
- Acupuncturist
- San Diego, CA
National Provider Identifier
1821246638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10017
- Practice address
- 4241 Jutland Dr
202
San Diego, CA 92117-3663 - Phone
- (858) 490-3460
- Fax
- (858) 490-3462
- NPI assigned
- Sep 4, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 10017 | CA | Primary |
Addresses
Primary practice location
4241 Jutland Dr
202
San Diego, CA 92117-3663
Mailing address
4241 Jutland Dr
103
San Diego, CA 92117-3663
Phone (858) 490-3460
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 |
|---|---|---|---|
| 10017 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerry Rand Apmc | Past | 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 and National Provider Directory roles.
-
- Infusion Therapy Clinic/Center
- San Diego, CA
- NPI 1427140367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1821246638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4241 JUTLAND DR",
"address_2": "103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921173663",
"telephone_number": "858-490-3460",
"fax_number": "858-490-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4241 JUTLAND DR",
"address_2": "202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921173663",
"telephone_number": "858-490-3460",
"fax_number": "858-490-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRADINO",
"first_name": "MICHAEL",
"middle_name": "D.",
"credential": "DAOC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "10017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.