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ROSS LAKE ROSS LAKE
NPI 1639247034
Acupuncturist in Ukiah, CA

Active since December 01, 2006
311 LUCE AVE, UKIAH, CA 95482(707) 462-4448(707) 595-5565 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ross Lake Ross Lake NPPES

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

ROSS LAKE ROSS LAKE (NPI 1639247034) is an individual acupuncturist in Ukiah, California, licensed in California (AC2909) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1639247034
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameROSS LAKECredential: ROSS LAKE
Location Address311 LUCE AVEUkiah, CA 95482-5667
Mailing Address311 Luce AveUkiah, CA 95482-5667 · (707) 462-4448 · Fax (707) 595-5565
Phone(707) 462-4448
Fax(707) 595-5565
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1639247034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · AC2909
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.
311 LUCE AVE, Ukiah, CA 95482
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Other Names 1

Other Name (5)Ross Lake L.ac.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

MR. RICHARD LEROY BEDDOE
Physical Therapist
311 LUCE AVE
UKIAH, CA 95482
Mendocino County (707) 463-2500
THE ORTHOPEDIC WELLNESS CENTER
Clinic/Center (Pain)
311 LUCE AVE
UKIAH, CA 95482
Mendocino County (707) 463-1782
RODNEY VAN PELT MD
Family Medicine (Sports Medicine)
311 LUCE AVE
UKIAH, CA 95482
Mendocino County (707) 463-1782

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 Ross Lake's NPI number?

The NPI number for Ross Lake is 1639247034. It was assigned to this individual provider in the NPPES registry on December 1, 2006. The provider is also known as Ross Lake L.Ac..

Where is Ross Lake located?

Ross Lake practices at 311 Luce Ave, Ukiah, CA 95482. The listed phone number is (707) 462-4448.

What is Ross Lake's specialty?

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

What insurance does Ross Lake accept?

Health plans from Providence Health Plan list Ross Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ross Lake was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.