Andrew Ryan Porter, L.AC., M.T.C.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17279 Issued in CA

Practice address

710 River St
Suite 11
Santa Cruz, CA 95060-2748

Phone

(907) 317-1511

NPI assigned

Oct 10, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1932659398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 NATIONAL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606516",
            "telephone_number": "907-317-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 RIVER ST",
            "address_2": "SUITE 11",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602748",
            "telephone_number": "907-317-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANDREW",
        "middle_name": "RYAN",
        "credential": "L.AC., M.T.C.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Amable Ponciano, RN, LMFT
• Natalie Elizabeth Pope, NP
• Sarah Popp
• Porcupine Garden Psychotherapy
• Patricia Poritzky
• Brent Joseph Porter, D.D.S., M.S.
• Elaine Portzel, CAADACA
• Danielle Positeri
• Casey Dean Post
• James L Poth Jr., MD

• Acupuncturist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.