Organization Active NPI

Inner Balance Medicine

  • Acupuncturist
  • Lodi, CA
National Provider Identifier
1093177362
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15323 Issued in CA
Legal business name
INNER BALANCE MEDICINE
Practice address
801 S Ham LN
Suite B
Lodi, CA 95242-7501
Phone
(209) 369-5008
Fax
(209) 289-0058
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Connie Schwartz, L.AC.NPI 1295147155
Title
Owner/Licensed Acupuncturist
Phone
(209) 369-5008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 15323 CA Primary

Addresses

Primary practice location

801 S Ham LN
Suite B
Lodi, CA 95242-7501

Mailing address

801 S Ham LN
Suite B
Lodi, CA 95242-7501
Phone (209) 369-5008

National Provider Directory

National Provider Directory

Locations

801 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 244-8175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1093177362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S HAM LN",
            "address_2": "SUITE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427501",
            "telephone_number": "209-369-5008",
            "fax_number": "209-289-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S HAM LN",
            "address_2": "SUITE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427501",
            "telephone_number": "209-369-5008",
            "fax_number": "209-289-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER/LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "209-369-5008",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.