Organization Active NPI

Blooming Acupuncture and Wellness Inc

  • Acupuncturist
  • Costa Mesa, CA
National Provider Identifier
1093564452
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BLOOMING ACUPUNCTURE AND WELLNESS INC
Practice address
1525 Mesa Verde Dr E Ste 111
Costa Mesa, CA 92626-5221
Phone
(949) 603-0333
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Chloe LeeNPI 1912765462
Title
Ceo
Phone
(949) 603-0333

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: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1525 Mesa Verde Dr E Ste 111
Costa Mesa, CA 92626-5221

Mailing address

1525 Mesa Verde Dr E Ste 111
Costa Mesa, CA 92626-5221

National Provider Directory

National Provider Directory

Locations

1525 Mesa Verde Dr E
Ste 111
Costa Mesa, CA 92626
Phone (949) 603-0333

Practitioners & affiliated clinicians

Practitioners 2

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": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1093564452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 111",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 111",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265221",
            "telephone_number": "949-603-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING ACUPUNCTURE AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-603-0333"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.