Active NPI
Amy P O'Donnell, M.S., L.AC
- Acupuncturist
- Roseville, CA
National Provider Identifier
1962753806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14645
- Practice address
- 8 Medical Plaza Dr Ste 300
Roseville, CA 95661-3107 - Phone
- (916) 887-4660
- NPI assigned
- Oct 1, 2012
- Last updated
- Aug 27, 2021
- Sex
- Female
- 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 | 14645 | CA | Primary |
Addresses
Primary practice location
8 Medical Plaza Dr Ste 300
Roseville, CA 95661-3107
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
4052 18th St
San Francisco, CA 94114-2534
Phone (415) 722-3297
Other practice location 2
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Medical Foundation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1962753806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MEDICAL PLAZA DR STE 300",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613107",
"telephone_number": "916-887-4660"
}
],
"practiceLocations": [
{
"address_1": "4052 18th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941142534",
"country_code": "US",
"telephone_number": "415-722-3297",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1179 N McDowell Blvd",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949546559",
"country_code": "US",
"telephone_number": "707-559-7500",
"fax_number": "707-559-7620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DONNELL",
"first_name": "AMY",
"middle_name": "P",
"credential": "M.S., L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.