Petra Beatrice Rosemarie Moncrief, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC8945 Issued in CA

Practice address

1276 N Palm Canyon Dr Ste 208
Palm Springs, CA 92262-4430

Phone

(760) 325-7776

Fax

(760) 406-4015

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garden of Wellness Acupuncture

  • Acupuncturist
  • Palm Springs, CA
  • NPI 1740369172
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1861447336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR STE 208",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624430",
            "telephone_number": "760-325-7776",
            "fax_number": "760-406-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR STE 208",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624430",
            "telephone_number": "760-325-7776",
            "fax_number": "760-406-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "PETRA BEATRICE",
        "middle_name": "ROSEMARIE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "CA0089450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iryna Mitelman, MD
• Sixto Vince Mitre
• Meelad Mohammadi, M.D
• Alina Molina
• Guillermo Molina
• Judith Lynn Monetathchi, MFTI
• Shawna Michaele Mongiovi, CADC II
• Stephanie Monroy
• Le-Anne Montejo, MD
• Juan Montemayor

• Acupuncturist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.