Active NPI
Mari Kubota, LAC.
- Acupuncturist
- Alameda, CA
National Provider Identifier
1871055251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC13444
- Practice address
- 2229 Santa Clara Ave Ste B
Alameda, CA 94501-4409 - Phone
- (828) 301-0378
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC13444 | CA | Primary |
Addresses
Primary practice location
2229 Santa Clara Ave Ste B
Alameda, CA 94501-4409
Mailing address
1321 Webster St Apt D104
Alameda, CA 94501-3850
Phone (828) 301-0378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC13444 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1871055251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 WEBSTER ST APT D104",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013850",
"telephone_number": "828-301-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 SANTA CLARA AVE STE B",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014409",
"telephone_number": "828-301-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBOTA",
"first_name": "MARI",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.