Organization Active NPI

Peaceful Provider LLC

Doing business as Peaceful Traditions Healthcare

  • Acupuncturist
  • Cotati, CA
National Provider Identifier
1992500995
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PEACEFUL PROVIDER LLC
Doing business as
Peaceful Traditions Healthcare
Practice address
1818 La PLZ Ste 104
Cotati, CA 94931-5216
Phone
(707) 634-4487
NPI assigned
Feb 14, 2025
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Demetra Markis, LACNPI 1386282465
Title
Ceo
Phone
(707) 634-4487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1818 La PLZ Ste 104
Cotati, CA 94931-5216

Mailing address

1818 La PLZ Ste 104
Cotati, CA 94931-5216
Phone (707) 634-4487

Other names 1

  • Peaceful Traditions Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

1818 La Plz
Ste 104
Cotati, CA 94931
Phone (707) 634-4487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1992500995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 LA PLZ STE 104",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949315216",
            "telephone_number": "707-634-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 LA PLZ STE 104",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949315216",
            "telephone_number": "707-634-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "MARKIS",
        "authorized_official_first_name": "DEMETRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-634-4487",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Traditions Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cotati, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.