The Luma Center Acupuncture & Wellness, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

THE LUMA CENTER ACUPUNCTURE & WELLNESS, INC.

Practice address

616 Petaluma Blvd N Ste B
Petaluma, CA 94952-2847

Phone

(415) 295-6108

Fax

(415) 226-0570

NPI assigned

Mar 29, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Fugo Zibelman, LACNPI 1558685214

Title

Member/ Acupuncturist

Phone

(415) 295-6108

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Fugo Zibelman, LAC

  • Acupuncturist
  • Petaluma, CA
  • NPI 1558685214
  NPD (past) Authorized official
• Naomi Graham, L.AC

  • Acupuncturist
  • Grass Valley, CA
  • NPI 1548939028
  NPD (past)

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1922636646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PETALUMA BLVD N STE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522847",
            "telephone_number": "415-295-6108",
            "fax_number": "415-226-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 PETALUMA BLVD N STE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522847",
            "telephone_number": "415-295-6108",
            "fax_number": "415-226-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUMA CENTER ACUPUNCTURE & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A",
        "authorized_official_last_name": "FUGO ZIBELMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MEMBER/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "415-295-6108",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timea Tenkei, IMF
• Kristine Tergesen, LCSW
• Kokeb Teshome, M.D.
• W. Richard Thayer, D.D.S.
• The Bernstein Institute for Trauma Treatment
• The Woven Woman LLC
• Tamara Jane Thissen, BSN, RN-C, CEN, AMB-
• Kari Thomas
• Gamin Mary Thomason, MD
• Daniel R Thompson, BCBA

• Acupuncturist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.