Thomas M Cummins, LAC.
Individual provider Active NPI Acupuncturist · Lakeport, CA
NPI 1982768321 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982768321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC4747 (CA)
- Practice address
- 925 Bevins CT
Medical
Lakeport, CA 95453-9754 - Phone
- (707) 263-3523
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC4747 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4747 | CA | Yes |
Addresses
Primary practice location
925 Bevins CT
Medical
Lakeport, CA 95453-9754
Mailing address
740 59TH St
#A
Oakland, CA 94609-1418
Phone (510) 654-5693
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.