Individual provider Active NPI

Michelle Kathleen Malloy, LAC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1033822911
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19636 Issued in CA
Practice address
7223 Beverly Blvd Ste 202
Los Angeles, CA 90036-2500
Phone
(310) 504-3077
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19636 CA Primary

Addresses

Primary practice location

7223 Beverly Blvd Ste 202
Los Angeles, CA 90036-2500

Mailing address

428 S Robertson Blvd Apt 503
Los Angeles, CA 90048-3287
Phone (310) 504-3077

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
19636CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle K Malloy Acupuncture and Wellness Inc. Acupuncturist CurrentSince May 1, 2023 Accepting new patients
Bass Chiropractic Professional Corp PastSince Jan 1, 2023 Accepting new patients
Bass Chiropractic Professional Corp Acupuncturist PastSince Jan 1, 2023 Accepting new patients

Locations

415 N Crescent Dr
Ste 140
Beverly Hills, CA 90210
Phone (310) 246-0702

400 S Beverly Dr
Ste 440
Beverly Hills, CA 90212
Phone (310) 659-2787

7223 Beverly Blvd
Ste 202
Los Angeles, CA 90036
Phone (310) 504-3077

Organizations & group practices 3

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1033822911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S ROBERTSON BLVD APT 503",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483287",
            "telephone_number": "310-504-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 BEVERLY BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362500",
            "telephone_number": "310-504-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "MICHELLE",
        "middle_name": "KATHLEEN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19636",
            "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 Dec 9, 2025; 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.