Individual provider Active NPI

Alicia D Masiulis, LAC LMP

  • Acupuncturist
  • Palo Alto, CA
National Provider Identifier
1063578698
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002299 Issued in WA
Practice address
290 California Ave
Palo Alto, CA 94306-1618
Phone
(650) 605-7134
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00017471 WA
Acupuncturist 171100000X AC00002299 WA Primary
Acupuncturist 171100000X 17059 CA

Addresses

Primary practice location

290 California Ave
Palo Alto, CA 94306-1618

Mailing address

PO Box 1306
Menlo Park, CA 94026-1306
Phone (206) 375-3689

Other practice location 1

3221 Eastlake Ave E
Suite 120
Seattle, WA 98102
Phone (206) 957-4550

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
17059CAMDAcupuncturist
AC00002299WAMDAcupuncturist
MA00017471WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1063578698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940261306",
            "telephone_number": "206-375-3689",
            "fax_number": "206-629-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CALIFORNIA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061618",
            "telephone_number": "650-605-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Eastlake Ave E",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98102",
            "country_code": "US",
            "telephone_number": "206-957-4550",
            "fax_number": "206-957-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASIULIS",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "LAC LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017471",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002299",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.