Active NPI
Healing Roots Community Acupuncture
- Health Service Clinic/Center
- Tustin, CA
National Provider Identifier
1831663830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538549712 | Other | NPI |
Other names 1
- Healing Roots Community Acupuncture
National Provider Directory
National Provider DirectoryLocations
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.
-
- Acupuncturist
- Tustin, CA
- NPI 1457926230
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.