Organization Active NPI

1St Defense Inc

  • Acupuncturist
  • La Crescenta, CA
National Provider Identifier
1073761409
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10271 Issued in CA
Legal business name
1ST DEFENSE INC
Practice address
3935 Foothill Blvd
La Crescenta, CA 91214-1621
Phone
(818) 957-7035
Fax
(818) 455-7017
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Kelvin Dewolfe, L.AC
Title
Owner
Phone
(818) 957-7035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10271 CA Primary

Addresses

Primary practice location

3935 Foothill Blvd
La Crescenta, CA 91214-1621

Mailing address

15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999

Other identifiers 1

IdentifierTypeStateIssuer
AC10271OtherCAAC LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1073761409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141621",
            "telephone_number": "818-957-7035",
            "fax_number": "818-455-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST DEFENSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "DEWOLFE",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-957-7035",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AC LICENSE",
            "identifier": "AC10271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.