Individual provider Active NPI

Anna Brantman, L. AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1023136603
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 9273 Issued in CA
Practice address
8635 W 3Rd St Ste 1180W
Los Angeles, CA 90048-6114
Phone
(310) 423-8664
Fax
(310) 460-0099
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 9273 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 1180W
Los Angeles, CA 90048-6114

Mailing address

8635 W 3Rd St Ste 1180W
Los Angeles, CA 90048-6114
Phone (310) 423-8664

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC 9273CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
PT and Restorative Wellness PastSince Feb 13, 2023 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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1023136603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 1180W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486114",
            "telephone_number": "310-423-8664",
            "fax_number": "310-460-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 1180W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486114",
            "telephone_number": "310-423-8664",
            "fax_number": "310-460-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTMAN",
        "first_name": "ANNA",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 9273",
            "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 Oct 3, 2024; 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.