NPIMap

Organization Active NPI

North Park Acupuncture

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1942370903
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6627 Issued in CA
Legal business name
NORTH PARK ACUPUNCTURE
Practice address
3080 North Park Way
San Diego, CA 92104-3625
Phone
(619) 294-6616
Fax
(619) 294-6618
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Gayle Griswold Kildebeck, L.AC.
Title
Acupuncturist
Phone
(619) 294-6616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC6627 CA Primary

Addresses

Primary practice location

3080 North Park Way
San Diego, CA 92104-3625

Mailing address

3080 North Park Way
San Diego, CA 92104-3625
Phone (619) 294-6616

National Provider Directory

National Provider Directory

Locations

3080 N Park Way
San Diego, CA 92104
Phone (619) 294-6616

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1942370903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 NORTH PARK WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043625",
            "telephone_number": "619-294-6616",
            "fax_number": "619-294-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 NORTH PARK WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043625",
            "telephone_number": "619-294-6616",
            "fax_number": "619-294-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "KILDEBECK",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "GRISWOLD",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "619-294-6616",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.