Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shasta Ericson, LAC, DAOM

Individual provider Acupuncturist · NPI 1912067521

Dr. Shasta Ericson, LAC, DAOM is an Acupuncturist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

940 Saratoga Ave Ste 104
San Jose, CA 95129
Phone: (408) 615-1995
Fax: (408) 615-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC5149 (CA)

Record details

NPI number1912067521
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , DAOM
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESApril 3, 2019

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