Active NPI
Davina Dick, L.AC., DAOM
- Acupuncturist
- East Palo Alto, CA
National Provider Identifier
1902251226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 16862
- Practice address
- 312 Wisteria Dr.
East Palo Alto, CA 94303 - Phone
- (408) 707-4023
- NPI assigned
- Apr 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 | AC 16862 | CA | Primary |
Addresses
Primary practice location
312 Wisteria Dr.
East Palo Alto, CA 94303
Mailing address
312 Wisteria Dr
East Palo Alto, CA 94303-2517
Phone (775) 771-9423
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 |
|---|---|---|---|
| AC 16862 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Davina Inc. | Acupuncturist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Redwood City, CA
- NPI 1265309264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1902251226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 WISTERIA DR",
"city": "EAST PALO ALTO",
"state": "CA",
"postal_code": "943032517",
"telephone_number": "775-771-9423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 WISTERIA DR.",
"city": "EAST PALO ALTO",
"state": "CA",
"postal_code": "94303",
"telephone_number": "408-707-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "DAVINA",
"name_prefix": "Dr.",
"credential": "L.AC., DAOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2022-06-09",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 16862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.