Proactive Acupuncture Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

PROACTIVE ACUPUNCTURE INC

Doing business as

Proactive Acupuncture

Practice address

2401 Capitol Ave Ste 100
Sacramento, CA 95816-5884

Phone

(916) 444-6047

Fax

(916) 444-3394

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradey Allen Cimino, LAC 10821

Title

Owner/Acupuncturist

Phone

(916) 444-6047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Proactive Acupuncture Doing business as

Locations

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.

• Bradley Allen Cimino, L.AC.

  • Acupuncturist
  • Roseville, CA
  • NPI 1245413335
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1871046755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CAPITOL AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165884",
            "telephone_number": "916-444-6047",
            "fax_number": "916-444-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CAPITOL AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165884",
            "telephone_number": "916-444-6047",
            "fax_number": "916-444-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "CIMINO",
        "authorized_official_first_name": "BRADEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "916-444-6047",
        "authorized_official_credential": "LAC 10821"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE IN SACRAMENTO CALIFORNIA, 11 YEARS AGO. I DONT REMEBER THE NAME.",
            "identifier": "1245413335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Pritchard
• Carlissa Elizabeth Pritchett Roberts
• Prithipal S. Sethi M.D., Inc.
• Pro Dental Group
• Pro-Stars Health Care LLC
• Dana Leigh Probert
• Procedure Center of South Sacramento Inc
• Amy Procter, MS, BCBA
• Professional Med Transportation LLC
• Professional Medical Clinic for Women-Sacramento, Inc.

• Acupuncturist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.