Healthcare Provider Details

I. General information

NPI: 1255298493
Provider Name (Legal Business Name): TERRA JOHNSON DACHM, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 W FREMONT AVE STE B1
SUNNYVALE CA
94087-2319
US

IV. Provider business mailing address

3156 ROUNDHILL RD
ALAMO CA
94507-1717
US

V. Phone/Fax

Practice location:
  • Phone: 408-830-9002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: