Individual provider Active NPI

Keri Uejo Marchand, L.AC., DIPL. O.M.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1003271917
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16926 Issued in CA
Practice address
1554 S Sepulveda Blvd Ste 209
Los Angeles, CA 90025-3359
Phone
(310) 401-4065
NPI assigned
Dec 18, 2015
Reactivated
Oct 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16926 CA Primary

Addresses

Primary practice location

1554 S Sepulveda Blvd Ste 209
Los Angeles, CA 90025-3359

Mailing address

1112 Montana Ave Ste 528
Santa Monica, CA 90403-7326
Phone (310) 401-4065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16926CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourishing Mind Body Wellness Center, a Collaborative Acupuncture PC Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1003271917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE STE 528",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904037326",
            "telephone_number": "310-401-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 S SEPULVEDA BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253359",
            "telephone_number": "310-401-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEJO MARCHAND",
        "first_name": "KERI",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2019-02-26",
        "deactivation_date": "2016-02-22",
        "reactivation_date": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.