MEDICARE: TARA ACUPUNCTURE & WELLNESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1285330928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARA ACUPUNCTURE & WELLNESS INC

Provider Business Mailing Address
First Line	:	16516 BERNARDO CENTER DR STE 320
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2552
Country	:	US
Telephone Number	:	619-289-7757
Fax Number	:

Provider Business Practice Location Address
First Line	:	16516 BERNARDO CENTER DR STE 320
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2552
Country	:	US
Telephone Number	:	619-289-7757
Fax Number	:	619-353-0553

Authorized Official
Title or Position	:	CEO, CFO, SECRETARY
Name	:	DR. TARA MARIE SHAH
Credential	:	DACM, LAC
Telephone Number	:	619-289-7757

Provider Enumeration Date	:	02/03/2023
Last Update Date	:	05/31/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1699620682 — VICTORIA ISABEL LUNA AMFT
Practice Location Address:

16516 BERNARDO CENTER DR STE 330
SAN DIEGO, CA
92128-2552

Practice Phone: 858-333-6856
Practice Fax: 858-999-2014

1528539863 — ASHLEIGH HIDALGO LCSW 129985
Practice Location Address:

16516 BERNARDO CENTER DR STE 330
SAN DIEGO, CA
92128-2552

Practice Phone: 858-333-6856
Practice Fax:

1578296455 — DR. TARA MARIE SHAH DACM, LAC
Practice Location Address:

16516 BERNARDO CENTER DR STE 320
SAN DIEGO, CA
92128-2552

Practice Phone: 619-289-7757
Practice Fax: 619-353-0553

1548067655 — EYECARE FOR VISION OPTOMETRY, INC
Practice Location Address:

16516 BERNARDO CENTER DR STE 300
SAN DIEGO, CA
92128-2552

Practice Phone: 619-302-0371
Practice Fax:

1427065424 — WALGREEN CO
Practice Location Address:

1456 136TH AVE
SAN LEANDRO, CA
94578-2552

Practice Phone: 510-618-1504
Practice Fax:

Directions to “TARA ACUPUNCTURE & WELLNESS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.