MR. PETER JORDAN SMITH L.AC. NPI 1285849778

NPI Information

NPI: 1285849778
Provider Name: MR. PETER JORDAN SMITH, L.AC.
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
826 SHATTUCK AVE
BERKELEY, CA
ZIP 94707
Phone: (510) 524-9828
Get Directions

MR. Peter Jordan Smith, L.AC. is an acupuncturist in Berkeley, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MR. Peter Jordan Smith, L.AC. NPI is 1285849778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

826 SHATTUCK AVE
BERKELEY, CA
ZIP 94707-020
Phone: (510) 524-9828

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		5328	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5328	OTHER	CALIFORNIA	STATE ACUPUNCTURE LICENSE
2	AC0053280	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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