Individual provider Active NPI

Andrea Irene Plichta, LAC

  • Acupuncturist
  • La Jolla, CA
National Provider Identifier
1982108189
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12759 Issued in CA
Practice address
6830 La Jolla Blvd Ste 201
La Jolla, CA 92037-6156
Phone
(858) 459-0899
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 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 12759 CA Primary

Addresses

Primary practice location

6830 La Jolla Blvd Ste 201
La Jolla, CA 92037-6156

Mailing address

6830 La Jolla Blvd Ste 201
La Jolla, CA 92037-6156
Phone (858) 459-0899

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1982108189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 LA JOLLA BLVD STE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376156",
            "telephone_number": "858-459-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 LA JOLLA BLVD STE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376156",
            "telephone_number": "858-459-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLICHTA",
        "first_name": "ANDREA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.