Mary Vincent, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

13096 Issued in CA

Practice address

1149 N 2ND St
El Cajon, CA 92021-5024

Phone

(619) 440-2440

Fax

(619) 440-9440

NPI assigned

Nov 25, 2024

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joel'S Massage & Holistic Center

  • Acupuncturist
  • El Cajon, CA
  • NPI 1710366521
  NPD (past)

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1942026976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 MASSACHUSETTS AVE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452738",
            "telephone_number": "619-306-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 N 2ND ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215024",
            "telephone_number": "619-440-2440",
            "fax_number": "619-440-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11665 Avena Pl Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282428",
            "country_code": "US",
            "telephone_number": "858-733-0832",
            "fax_number": "619-440-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "MARY",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Villegas
• Olga Villota
• Vincent G Adamo Chiropractic Professional Corporation
• Vincent G Adamo Professional Corporation
• Lauren Cullen Vincent, M.D.
• Kiran Virani
• David Virissimo Jr., DPT
• Victoria Viscarra
• Victor Visouri
• Vista Hill Foundation

• Acupuncturist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.