DR. NIKO SADAT DETRA DACM., L.AC.
NPI 1790671378
Acupuncturist in San Diego, CA

Q: What is Niko Detra's NPI number?

The NPI number for Niko Detra is 1790671378. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Q: What is Niko Detra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Niko Detra was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 17, 2025

3503 4TH AVE, SAN DIEGO, CA 92103(619) 844-1602 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Niko Sadat Detra Dacm., L.ac. NPPES

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

DR. NIKO SADAT DETRA DACM., L.AC. (NPI 1790671378) is an individual acupuncturist in San Diego, California, licensed in California (AC20299) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1790671378

Entity TypeIndividualFemale

Primary Taxonomy171100000X

Provider Legal NameDR. NIKO SADAT DETRACredential: DACM., L.AC.

Location Address3503 4TH AVESan Diego, CA 92103-4912

Mailing Address3503 4th AveSan Diego, CA 92103-4912 · (619) 844-1602

Phone(619) 844-1602

Sole ProprietorYes

Enumeration DateJune 17, 2025

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1790671378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in CA · AC20299

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.

3503 4TH AVE, San Diego, CA 92103

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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.

CANNON & RUTKOSKI CHIROPRACTIC

Chiropractor

3503 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 501-7873

CANNON & RUTKOSKI CHIROPRACTIC, A PROFESSIONAL CORPORATION

Chiropractor

3503 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 501-7873

DR. ALISSA A RUTKOSKI D.C.

Chiropractor

3503 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 501-7873

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 Niko Detra's NPI number?

The NPI number for Niko Detra is 1790671378. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Niko Detra located?

Niko Detra practices at 3503 4th Ave, San Diego, CA 92103. The listed phone number is (619) 844-1602.

What is Niko Detra'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 Niko Detra was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.