Organization Active NPI

Sacred Mountain Acupuncture CL

  • Acupuncturist
  • Palm Springs, CA
National Provider Identifier
1881658656
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8934 Issued in CA
Legal business name
SACRED MOUNTAIN ACUPUNCTURE CL
Practice address
2150 East Tahquitz Canyon Way
Suite 5
Palm Springs, CA 92262-6817
Phone
(760) 327-3500
Fax
(760) 406-5860
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mr. James B Perdue Jr., L.ACNPI 1225092091
Title
Owner
Phone
(760) 327-3500

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC8934 CA Primary

Addresses

Primary practice location

2150 East Tahquitz Canyon Way
Suite 5
Palm Springs, CA 92262-6817

Mailing address

611 S. Palm Canyon Drive
Suite 7-574
Palm Springs, CA 92264-7453
Phone (760) 327-3500

National Provider Directory

National Provider Directory

Locations

611 S Palm Canyon Dr
Ste 7574
Palm Springs, CA 92264

2150 E Tahquitz Canyon Way
Ste 5
Palm Springs, CA 92262
Phone (760) 324-3131

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1881658656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S. PALM CANYON DRIVE",
            "address_2": "SUITE 7-574",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647453",
            "telephone_number": "760-327-3500",
            "fax_number": "760-406-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 EAST TAHQUITZ CANYON WAY",
            "address_2": "SUITE 5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626817",
            "telephone_number": "760-327-3500",
            "fax_number": "760-406-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED MOUNTAIN ACUPUNCTURE CL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-327-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.