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MAKHA PHETPHOMMASOUK
NPI 1346782646
Acupuncturist in Santa Rosa, CA

Active since November 17, 2016
95 MONTGOMERY DR, 126, SANTA ROSA, CA 95404(707) 861-0625 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Makha Phetphommasouk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKHA PHETPHOMMASOUK (NPI 1346782646) is an individual acupuncturist in Santa Rosa, California, licensed in California (17021) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1346782646
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameMAKHA PHETPHOMMASOUK
Location Address95 MONTGOMERY DR, 126Santa Rosa, CA 95404-6630
Mailing Address2196 Wolfberry WaySanta Rosa, CA 95404-6188 · (707) 548-1875
Phone(707) 861-0625
Sole ProprietorYes
Enumeration DateNovember 17, 2016
✔ NPI 1346782646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · 17021
Definition
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.
95 MONTGOMERY DR, Santa Rosa, CA 95404
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE B. STOLMAKER MFT
Marriage & Family Therapist
95 MONTGOMERY DR, STE 202
SANTA ROSA, CA 95404
Sonoma County (707) 523-2033
DR. HIKO RUO DMD
Dentist (General Practice)
95 MONTGOMERY DR, SUITE 212
SANTA ROSA, CA 95404
Sonoma County (707) 528-3412
FLOURISH PHYSICAL THERAPY, INC
Physical Therapist (Orthopedic)
95 MONTGOMERY DR, SUITE 90
SANTA ROSA, CA 95404
Sonoma County (707) 968-7378
MR. GREGORY BLAKE APOSTLE
Dentist (Pediatric Dentistry)
95 MONTGOMERY DR, #210
SANTA ROSA, CA 95404
Sonoma County (707) 542-4746
DR. ROBERT ADAM SCHULMAN MD
Physical Medicine & Rehabilitation
95 MONTGOMERY DR, STE 120
SANTA ROSA, CA 95404
Sonoma County (415) 893-8399
CHIROPRACTIC NEUROLOGY ENHANCEMENT CENTER
Chiropractor (Neurology)
95 MONTGOMERY DR, SUITE 118
SANTA ROSA, CA 95404
Sonoma County (707) 228-8405
DR. VICTORIA JANE LYNSKEY D.M.D., M.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
95 MONTGOMERY DR, SUITE 220
SANTA ROSA, CA 95404
Sonoma County (707) 525-1180
LINDA M TOWLE MSN, GNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
95 MONTGOMERY DR, STE 222
SANTA ROSA, CA 95404
Sonoma County (707) 579-1968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Makha Phetphommasouk's NPI number?

The NPI number for Makha Phetphommasouk is 1346782646. It was assigned to this individual provider in the NPPES registry on November 17, 2016.

Where is Makha Phetphommasouk located?

Makha Phetphommasouk practices at 95 Montgomery Dr 126, Santa Rosa, CA 95404. The listed phone number is (707) 861-0625.

What is Makha Phetphommasouk's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Makha Phetphommasouk was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.