Individual provider Active NPI

Lyle Najita, LAC, CMT

  • Acupuncturist
  • Davis, CA
National Provider Identifier
1043390362
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 9201 Issued in CA
Practice address
638 Cantrill Dr
Suite D
Davis, CA 95618-7756
Phone
(530) 220-2689
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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 9201 CA Primary

Addresses

Primary practice location

638 Cantrill Dr
Suite D
Davis, CA 95618-7756

Mailing address

638 Cantrill Dr Ste D
Davis, CA 95618-7756
Phone (530) 220-2689

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
AC 9201CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1043390362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CANTRILL DR STE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187756",
            "telephone_number": "530-220-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 CANTRILL DR",
            "address_2": "SUITE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187756",
            "telephone_number": "530-220-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJITA",
        "first_name": "LYLE",
        "credential": "LAC, CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 9201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.