Active NPI
David Caruso-Radin, LAC
- Acupuncturist
- Berkeley, CA
National Provider Identifier
1942489414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11741
- Practice address
- 1491 Hopkins St
Suite a
Berkeley, CA 94702-1244 - Phone
- (510) 684-0926
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- 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 | AC11741 | CA | Primary |
Addresses
Primary practice location
1491 Hopkins St
Suite a
Berkeley, CA 94702-1244
Mailing address
1491 Hopkins St
Suite a
Berkeley, CA 94702-1244
Phone (510) 684-0926
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC11741 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1942489414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 HOPKINS ST",
"address_2": "SUITE A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021244",
"telephone_number": "510-684-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 HOPKINS ST",
"address_2": "SUITE A",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021244",
"telephone_number": "510-684-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUSO-RADIN",
"first_name": "DAVID",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.