What is Niko Detra's NPI number?

Niko Detra's National Provider Identifier (NPI) is 1790671378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Niko Detra's specialty?

Niko Detra is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).

Where is Niko Detra located?

Niko Detra's practice location on file with NPPES is 3503 4th Ave, San Diego, CA 92103-4912.

What is Niko Detra's phone number?

The practice phone number listed in the NPPES registry for Niko Detra is (619) 844-1602.

Is Niko Detra's NPI active?

Yes — Niko Detra's NPI (1790671378) is active in the NPPES registry as of the last update on 2025-07-30.

IndividualActive

Niko Detra, DACM., L.AC.

NPI 1790671378 · Acupuncturist · San Diego, CA

Niko Detra, DACM., L.AC. is a Acupuncturist provider in San Diego, CA (NPI 1790671378).

Provider details

NPI number: 1790671378
Entity type: Individual
Primary specialty: AcupuncturistOther Service Providers
Credential: DACM., L.AC.
Sex: Female
Sole proprietor: Yes
License: AC20299 (CA)

Specialties & taxonomies

AcupuncturistPrimary171100000XLicense AC20299 (CA)
Other Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3503 4th Ave

San Diego, CA 92103-4912

Phone: (619) 844-1602

Street-level locationGet directions

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Mailing address