Evergreen Health Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12960 Issued in CA

Legal business name

EVERGREEN HEALTH ACUPUNCTURE

Practice address

535 Old County Rd Ste D
San Carlos, CA 94070-2520

Phone

(650) 567-5526

NPI assigned

Aug 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey NA

Title

Ceo

Phone

(650) 567-5526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1851724603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OLD COUNTY RD STE D",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OLD COUNTY RD STE D",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702520",
            "telephone_number": "650-567-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTH ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-567-5526",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Eskenazi
• Natalia Elisa Estassi, MA
• Eddie Estrada, MSW
• Laura Eurin
• Allison Linda Evans
• Adriana Faiman, LCSW
• Audrey Vanessa Fairchild, AMFT APCC
• Evelyn S Falasco
• Bailey Fan
• Yuemiao Fang, L.AC.

• Acupuncturist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.