Individual provider Active NPI

Trina Psenicnik, L.AC.

  • Acupuncturist
  • La Jolla, CA
National Provider Identifier
1922415017
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15247 Issued in CA
Practice address
8744 Villa la Jolla Dr
Apt 43
La Jolla, CA 92037-1941
Phone
(858) 731-6643
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15247 CA Primary

Addresses

Primary practice location

8744 Villa la Jolla Dr
Apt 43
La Jolla, CA 92037-1941

Mailing address

8744 Villa la Jolla Dr
Apt 43
La Jolla, CA 92037-1941
Phone (858) 731-6643

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

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1922415017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8744 VILLA LA JOLLA DR",
            "address_2": "APT 43",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371941",
            "telephone_number": "858-731-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8744 VILLA LA JOLLA DR",
            "address_2": "APT 43",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371941",
            "telephone_number": "858-731-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSENICNIK",
        "first_name": "TRINA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.