Active NPI
Jonathan Paul Nelson, L.AC., C.M.T.
- Acupuncturist
- Oakland, CA
National Provider Identifier
1942561329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14685
- Practice address
- 2831 Telegraph Ave
Oakland, CA 94609-3649 - Phone
- (510) 213-8699
- NPI assigned
- Jun 2, 2012
- 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 | 14685 | CA | Primary |
Addresses
Primary practice location
2831 Telegraph Ave
Oakland, CA 94609-3649
Mailing address
2831 Telegraph Ave
Oakland, CA 94609-3649
Phone (510) 213-8699
Other practice location 1
601 Cesar Chavez
San Francisco, CA 94124-1209
Phone (510) 213-8699
Other practice location 2
1 Rio Vista Ave
Oakland, CA 94611-5320
Phone (510) 213-8699
Other names 1
- Jon Nelson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1942561329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093649",
"telephone_number": "510-213-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093649",
"telephone_number": "510-213-8699"
}
],
"practiceLocations": [
{
"address_1": "601 Cesar Chavez",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941241209",
"country_code": "US",
"telephone_number": "510-213-8699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Rio Vista Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946115320",
"country_code": "US",
"telephone_number": "510-213-8699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "JONATHAN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "L.AC., C.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-02",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JON",
"last_name": "NELSON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.