Individual provider Active NPI

Sivarama Prasad Vinjamury, LAC

  • Acupuncturist
  • Whittier, CA
National Provider Identifier
1114009552
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9458 Issued in CA
Practice address
16200 E Amber Valley Drive
Whittier, CA 90604
Phone
(562) 943-7125
Fax
(562) 902-3398
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9458 CA Primary

Addresses

Primary practice location

16200 E Amber Valley Drive
Whittier, CA 90604

Mailing address

16200 E Amber Valley Drive
Whittier, CA 90604
Phone (562) 947-8755

Other practice location 1

14758 Beach Blvd
LA Mirada, CA 90638-4250
Phone (562) 646-7476

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

Practice roles

OrganizationSpecialtyStatusNew patients
Srotas Acupuncturist PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1114009552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 E AMBER VALLEY DRIVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90604",
            "telephone_number": "562-947-8755",
            "fax_number": "562-902-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 E AMBER VALLEY DRIVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90604",
            "telephone_number": "562-943-7125",
            "fax_number": "562-902-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14758 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906384250",
            "country_code": "US",
            "telephone_number": "562-646-7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINJAMURY",
        "first_name": "SIVARAMA",
        "middle_name": "PRASAD",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.