Active NPI
Sviatlana Spiasiutsava
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1083345508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19345
- Practice address
- 1561 Westwood Blvd
Los Angeles, CA 90024-5601 - Phone
- (424) 274-1550
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 19345 | CA | Primary |
Addresses
Primary practice location
1561 Westwood Blvd
Los Angeles, CA 90024-5601
Mailing address
404 Shatto PL Apt 314
Los Angeles, CA 90020-1773
Phone (323) 742-0802
Other practice location 1
404 Shatto Pl Apt 314
Los Angeles, CA 90020-1773
Phone (323) 742-0802
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 |
|---|---|---|---|
| 19345 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1083345508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 SHATTO PL APT 314",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201773",
"telephone_number": "323-742-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 WESTWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245601",
"telephone_number": "424-274-1550"
}
],
"practiceLocations": [
{
"address_1": "404 Shatto Pl Apt 314",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900201773",
"country_code": "US",
"telephone_number": "323-742-0802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPIASIUTSAVA",
"first_name": "SVIATLANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19345",
"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 Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.