Active NPI
Carmen Pomares
- Acupuncturist
- Rohnert Park, CA
National Provider Identifier
1932558491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16613
- Practice address
- 6040 Commerce Blvd Ste 105
Rohnert Park, CA 94928 - Phone
- (415) 827-9747
- Fax
- (707) 387-1915
- NPI assigned
- Jun 6, 2016
- Last updated
- Jul 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 16613 | CA | Primary |
Addresses
Primary practice location
6040 Commerce Blvd Ste 105
Rohnert Park, CA 94928
Mailing address
6040 Commerce Blvd Ste 105
Rohnert Park, CA 94928-2181
Phone (707) 297-9668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932558491 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petaluma Health Center Inc | Past | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Petaluma Health Center
- Federally Qualified Health Center (FQHC)
- Petaluma, CA
- NPI 1588656268
-
dba Rohnert Park Health Center
- Federally Qualified Health Center (FQHC)
- Rohnert Park, CA
- NPI 1669870739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532822400000",
"number": "1932558491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 COMMERCE BLVD STE 105",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282181",
"telephone_number": "707-297-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 COMMERCE BLVD STE 105",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "94928",
"telephone_number": "415-827-9747",
"fax_number": "707-387-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMARES",
"first_name": "CARMEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2018-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932558491",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.