DR. SHASTA ERICSON L.AC. D.A.O.M. NPI 1912067521

NPI Information

NPI: 1912067521
Provider Name: DR. SHASTA ERICSON, L.AC., D.A.O.M.
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
940 SARATOGA AVE SUITE 104
SAN JOSE, CA
ZIP 95129
Phone: (408) 615-1995
Get Directions

DR. Shasta Ericson, L.AC., D.A.O.M. is an acupuncturist in San Jose, 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. DR. Shasta Ericson, L.AC., D.A.O.M. NPI is 1912067521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

940 SARATOGA AVE SUITE 104
SAN JOSE, CA
ZIP 95129
Phone: (408) 615-1995
Fax: (408) 615-1999

The enumeration date for this NPI number is 12/12/2006 and was last updated on 4/3/2019.

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		AC5149	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	77041-5394	OTHER		TAX ID

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »