Organization Active NPI

Healing Roots Community Acupuncture

  • Health Service Clinic/Center
  • Tustin, CA
National Provider Identifier
1831663830
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HEALING ROOTS COMMUNITY ACUPUNCTURE
Doing business as
Healing Roots Community Acupuncture
Practice address
17541 Irvine Blvd Ste D
Tustin, CA 92780-3158
Phone
(657) 900-2211
NPI assigned
Jan 14, 2019
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Alyssa Ann Houser, L.AC.
Title
Owner, Licensed Acupuncturist
Phone
(657) 900-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

17541 Irvine Blvd Ste D
Tustin, CA 92780-3158

Mailing address

17541 Irvine Blvd Ste D
Tustin, CA 92780-3158
Phone (657) 900-2211

Other identifiers 1

IdentifierTypeStateIssuer
1538549712OtherNPI

Other names 1

  • Healing Roots Community Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

17541 Irvine Blvd
Ste D
Tustin, CA 92780
Phone (657) 900-2211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1831663830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17541 IRVINE BLVD STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803158",
            "telephone_number": "657-900-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17541 IRVINE BLVD STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803158",
            "telephone_number": "657-900-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS COMMUNITY ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "657-900-2211",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538549712",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Roots Community Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.