Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225272479 Individual Practitioner Male Practitioner

Jared Andersen , LAC

Acupuncturist • San Diego, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jared Andersen, LAC is a registered healthcare professional specializing in Acupuncturist in San Diego, CA. Official NPI practice address is registered at 4002 PARK BLVD.

Practice Location & Contact Primary Location

Practice Address

4002 Park Blvd
Suite E

San Diego, CA 921032600

Telephone 8582045816

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
686 Specialists

Practicing in San Diego, CA (11031 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CA 12905

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Daniel Knight , LAC

Acupuncturist

NPI 1003088501

Licensed Acupuncturist

NPI 1164727483

Doctor of Dental Surgery

Susan Griffin , CADC-II

Counselor - Addiction (Substance Use Disorder)

NPI 1558584144

CADCII

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 30, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2009

Registered at 4002 PARK BLVD, SUITE E, SAN DIEGO, CA 921032600 (Tel: 8582045816)

📍
Updated Business Mailing Address April 30, 2009

Registered at 4002 PARK BLVD, SUITE E, SAN DIEGO, CA 921032600

👤
Provider Name / Credentials Updated April 30, 2009

Recorded as JARED ANDERSEN, L.AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2009

Acupuncturist (License #12905 in CA)

🟢
Initial NPI Registration & Enumeration April 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225272479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2009
Last Update: April 30, 2009
Sole Proprietor: Yes

Mailing Address

4002 Park Blvd, Suite E

San Diego, CA 921032600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.