Active NPI
Larisa Boyd, L.AC.
- Acupuncturist
- Oakland, CA
National Provider Identifier
1083767180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 11425
- Practice address
- 541 Athol Ave
Oakland, CA 94606-1507 - Phone
- (213) 399-8469
- NPI assigned
- Jan 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC11425 | CA | |
| Acupuncturist | 171100000X | AC 11425 | CA | Primary |
Addresses
Primary practice location
541 Athol Ave
Oakland, CA 94606-1507
Mailing address
PO Box 11488
Oakland, CA 94611-0488
Phone (213) 399-8469
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 |
|---|---|---|---|
| AC 11425 | CA | MD | Acupuncturist |
| AC11425 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1083767180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11488",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946110488",
"telephone_number": "213-399-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 ATHOL AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946061507",
"telephone_number": "213-399-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "LARISA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11425",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 11425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.