Mary Alice Coelho, DACM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18269 Issued in CA

Practice address

1169 Pacific Beach Dr Apt C
San Diego, CA 92109-5183

Phone

(559) 380-5821

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1871059253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 PACIFIC BEACH DR APT C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095183",
            "telephone_number": "559-380-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 PACIFIC BEACH DR APT C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095183",
            "telephone_number": "559-380-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaela Grace Codo
• Crystal Cody, DPT
• Amy Marie Coe, OTR/L
• Catherine Louw Coe, M.D.
• Paige Coe
• Nia Coerbell, R.N.
• Kathleen Louise Coetzee, D.O.
• Michela Coffaro, PSYD
• Charles Stuart Coffey, MD
• Christanne Hoffman Coffey, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.