Individual provider Active NPI

Jason Moskovitz

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1023258209
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12881 Issued in CA
Practice address
1131 Wilshire Blvd
Suite 300
Santa Monica, CA 90401-2061
Phone
(310) 917-2200
NPI assigned
Feb 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12881 CA Primary

Addresses

Primary practice location

1131 Wilshire Blvd
Suite 300
Santa Monica, CA 90401-2061

Mailing address

3911 Wade St
#8
Los Angeles, CA 90066-4722

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

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1023258209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 WADE ST",
            "address_2": "#8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD",
            "address_2": "SUITE 300",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012061",
            "telephone_number": "310-917-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOVITZ",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.