Individual provider Active NPI

Taylor Leigh Priselac, DACM, LAC, DIPL. OM

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1912589243
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19098 Issued in CA
Practice address
4732 Point Loma Ave Ste D
San Diego, CA 92107-3866
Phone
(832) 876-1085
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19098 CA Primary

Addresses

Primary practice location

4732 Point Loma Ave Ste D
San Diego, CA 92107-3866

Mailing address

4675 Adair St
San Diego, CA 92107-3805
Phone (832) 876-1085

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
19098CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1912589243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 ADAIR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073805",
            "telephone_number": "832-876-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 POINT LOMA AVE STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073866",
            "telephone_number": "832-876-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISELAC",
        "first_name": "TAYLOR",
        "middle_name": "LEIGH",
        "credential": "DACM, LAC, DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 30, 2021; 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.