Active NPI
Marc Jantzi, LAC
- Acupuncturist
- San Diego, CA
National Provider Identifier
1982178471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 15038
- Practice address
- 4847 Newport Ave
San Diego, CA 92107-3110 - Phone
- (619) 550-9747
- NPI assigned
- Jan 17, 2019
- 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 | 15038 | CA | Primary |
Addresses
Primary practice location
4847 Newport Ave
San Diego, CA 92107-3110
Mailing address
1826 S Coast Hwy
Oceanside, CA 92054-5322
Phone (650) 453-5179
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": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1982178471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 S COAST HWY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545322",
"telephone_number": "650-453-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4847 NEWPORT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921073110",
"telephone_number": "619-550-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANTZI",
"first_name": "MARC",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-17",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "15038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.