Individual provider Active NPI

Jane Gransee Mergens, L.AC.

  • Acupuncturist
  • La Mesa, CA
National Provider Identifier
1982658993
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10129 Issued in CA
Practice address
9019 Park Plaza Dr Ste D
La Mesa, CA 91942-3443
Phone
(619) 606-6464
Fax
(619) 579-8573
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10129 CA Primary

Addresses

Primary practice location

9019 Park Plaza Dr Ste D
La Mesa, CA 91942-3443

Mailing address

9451 Pino Dr
Lakeside, CA 92040-4336
Phone (619) 606-6464

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
AC10129CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Grossmont Hospital Corporation Past Accepting new patients

Organizations & group practices 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1982658993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9451 PINO DR",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920404336",
            "telephone_number": "619-606-6464",
            "fax_number": "619-579-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 PARK PLAZA DR STE D",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423443",
            "telephone_number": "619-606-6464",
            "fax_number": "619-579-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGENS",
        "first_name": "JANE",
        "middle_name": "GRANSEE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.