Organization Active NPI

Unified Functional Medicine & Acupuncture Inc.

  • Acupuncturist
  • Belmont, CA
National Provider Identifier
1831702117
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
UNIFIED FUNCTIONAL MEDICINE & ACUPUNCTURE INC.
Practice address
881 Ralston Ave
Belmont, CA 94002-2205
Phone
(650) 453-8112
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Jonathan Suarez, DACM, LACNPI 1770191637
Title
Ceo
Phone
(650) 444-8771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

881 Ralston Ave
Belmont, CA 94002-2205

Mailing address

61 Kenton Ave
San Carlos, CA 94070-1748
Phone (650) 444-8771

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office@unifiedfma.com

National Provider Directory

National Provider Directory

Locations

881 Ralston Ave
Belmont, CA 94002
Phone (650) 444-8771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1831702117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 KENTON AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940701748",
            "telephone_number": "650-444-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022205",
            "telephone_number": "650-453-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED FUNCTIONAL MEDICINE & ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-444-8771",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@unifiedfma.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "881 Ralston Ave",
            "city": "Belmont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940022205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.