Active NPI
Shaun Bornstein, MTOM
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1073966495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16729
- Practice address
- 1807 Wilshire Blvd
200
Santa Monica, CA 90403-5652 - Phone
- (310) 453-8300
- NPI assigned
- Jul 20, 2016
- 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 | 16729 | CA | Primary |
Addresses
Primary practice location
1807 Wilshire Blvd
200
Santa Monica, CA 90403-5652
Mailing address
417 Bay St Apt 4
Santa Monica, CA 90405-1130
Phone (310) 399-6583
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16729 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1073966495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 BAY ST APT 4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051130",
"telephone_number": "310-399-6583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 WILSHIRE BLVD",
"address_2": "200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035652",
"telephone_number": "310-453-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN",
"first_name": "SHAUN",
"credential": "MTOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.