Individual provider Active NPI

Meggin B Sullivan, OMD

  • Acupuncturist
  • Vista, CA
National Provider Identifier
1912059213
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8267 Issued in CA
Practice address
400 S Melrose Dr
Ste 111
Vista, CA 92081-6632
Phone
(760) 806-4347
Fax
(760) 806-4348
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8267 CA Primary

Addresses

Primary practice location

400 S Melrose Dr
Ste 111
Vista, CA 92081-6632

Mailing address

544 W Vista Way
Vista, CA 92081
Phone (760) 639-6471

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

LicenseStateTypeSpecialty
AC8267CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Oriental Medical Arts & Acupuncture Acupuncturist Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1912059213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92081",
            "telephone_number": "760-639-6471",
            "fax_number": "760-639-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MELROSE DR",
            "address_2": "STE 111",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816632",
            "telephone_number": "760-806-4347",
            "fax_number": "760-806-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGGIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.