Active NPI
Izelle Cloete, L.AC.
- Acupuncturist
- San Diego, CA
National Provider Identifier
1891929246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12875
- Practice address
- 3555 Kenyon Street
Suite 100
San Diego, CA 92110 - Phone
- (619) 550-8175
- Fax
- (619) 358-9629
- NPI assigned
- May 13, 2009
- 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 | AC12875 | CA | Primary |
Addresses
Primary practice location
3555 Kenyon Street
Suite 100
San Diego, CA 92110
Mailing address
P.O. Box 33390
San Diego, CA 92163
Phone (619) 550-8175
Other names 1
- Mrs. Izelle Coetzee
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 |
|---|---|---|---|
| AC12875 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1891929246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 33390",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92163",
"telephone_number": "619-550-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 KENYON STREET",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "619-550-8175",
"fax_number": "619-358-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOETE",
"first_name": "IZELLE",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IZELLE",
"last_name": "COETZEE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.