Active NPI
Elizabeth Robledo, DACM, L.AC
- Acupuncturist
- San Bernardino, CA
National Provider Identifier
1023575248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18345
- Practice address
- 275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238 - Phone
- (909) 567-2221
- Fax
- (909) 763-3216
- NPI assigned
- Feb 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18345 | CA | Primary |
Addresses
Primary practice location
275 W Hospitality LN Ste 100
San Bernardino, CA 92408-3238
Mailing address
24395 Lamont Dr
Moreno Valley, CA 92553-3580
Phone (951) 287-6431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815006275 | Medicaid | CA | |
| 815006275 | Other | CA | TRANSIT PHYSICAL THERAPY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18345 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transit Physical Therapy PC | Past | Accepting new patients | |
| Redlands Spine and Sport | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- San Bernardino, CA
- NPI 1417485889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1023575248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24395 LAMONT DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925533580",
"telephone_number": "951-287-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W HOSPITALITY LN STE 100",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083238",
"telephone_number": "909-567-2221",
"fax_number": "909-763-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLEDO",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DACM, L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "18345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815006275",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRANSIT PHYSICAL THERAPY",
"identifier": "815006275",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.