Organization Active NPI

Petaluma Acupuncture Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Petaluma, CA
National Provider Identifier
1851768899
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
3123 Issued in CA
Legal business name
PETALUMA ACUPUNCTURE CENTER
Practice address
720 Southpoint Blvd Ste 211
Petaluma, CA 94954-7496
Phone
(707) 981-7015
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Ms. Joan Plastino, LICENSED ACUPUNCTURINPI 1205984663
Title
Owner
Phone
(707) 981-7015

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
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 3123 CA Primary

Addresses

Primary practice location

720 Southpoint Blvd Ste 211
Petaluma, CA 94954-7496

Mailing address

720 Southpoint Blvd Ste 211
Petaluma, CA 94954-7496
Phone (707) 331-5648

National Provider Directory

National Provider Directory

Locations

720 Southpoint Blvd
Ste 211
Petaluma, CA 94954
Phone (707) 981-7015

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": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1851768899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SOUTHPOINT BLVD STE 211",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547496",
            "telephone_number": "707-331-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SOUTHPOINT BLVD STE 211",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547496",
            "telephone_number": "707-981-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETALUMA ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "PLASTINO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-981-7015",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED ACUPUNCTURI"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.