Pine Street Clinic LLC
NPI 1801194303ActiveOrganization· Acupuncturist· San Anselmo, CA
Acupuncturist in San Anselmo, California, registered in NPPES in March 2011. The authorized official on file is Michael Broffman, LAC, Member.
Overview
| NPI | 1801194303 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2011 |
| Last updated in NPPES | Mar 8, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | 1140 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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