Individual provider Active NPI

Barbara Vallarta

  • Acupuncturist
  • Bonita, CA
National Provider Identifier
1942689278
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 16535 Issued in CA
Practice address
4514 Bonita Rd
Bonita, CA 91902-1427
Phone
(619) 470-4714
Fax
(619) 470-3452
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 16535 CA Primary

Addresses

Primary practice location

4514 Bonita Rd
Bonita, CA 91902-1427

Mailing address

3670 Reynard Way
Apt B
San Diego, CA 92103-3867
Phone (773) 951-4036

Other practice location 1

2852 Adams Ave
San Diego, CA 92116-1407
Phone (619) 282-8068

Other practice location 2

3670 Reynard Way Apt B
San Diego, CA 92103-3867
Phone (773) 951-4036

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

LicenseStateTypeSpecialty
AC 16535CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acu Care Health Centers Acupuncturist Current Accepting new patients
Kimberly Hoover L.Ac. Acupuncturist Past Accepting new patients
Julie K Laffen, L.Ac. Acupuncturist Past Accepting new patients

Locations

4514 Bonita Rd
Bonita, CA 91902
Phone (619) 470-4714

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1942689278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 REYNARD WAY",
            "address_2": "APT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033867",
            "telephone_number": "773-951-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 BONITA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021427",
            "telephone_number": "619-470-4714",
            "fax_number": "619-470-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2852 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921161407",
            "country_code": "US",
            "telephone_number": "619-282-8068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3670 Reynard Way Apt B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921033867",
            "country_code": "US",
            "telephone_number": "773-951-4036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLARTA",
        "first_name": "BARBARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 16535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.