Individual provider Active NPI

Rodolfo Felix Cardenas, O.M.D. L.AC.

  • Acupuncturist
  • Van Nuys, CA
National Provider Identifier
1124191275
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 3242 Issued in CA
Practice address
14600 Sherman Way
Suite 300
Van Nuys, CA 91405-2283
Phone
(818) 756-2519
Fax
(818) 904-0479
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 3242 CA Primary

Addresses

Primary practice location

14600 Sherman Way
Suite 300
Van Nuys, CA 91405-2283

Mailing address

9035 Woodale Ave
Arleta, CA 91331-5826
Phone (818) 504-9782

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

LicenseStateTypeSpecialty
AC 3242CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124191275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 WOODALE AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913315826",
            "telephone_number": "818-504-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 300",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-756-2519",
            "fax_number": "818-904-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "RODOLFO",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "O.M.D. L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 3242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.