Individual provider Active NPI

Lisa Angela Gibilie, L.AC.

  • Acupuncturist
  • Huntington Beach, CA
National Provider Identifier
1144328196
Registry record updated Oct 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
7324 Issued in CA
Practice address
20422 Beach Blvd
Suite 215
Huntington Beach, CA 92648-4373
Phone
(714) 313-5506
Fax
(714) 441-7983
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 7324 CA Primary

Addresses

Primary practice location

20422 Beach Blvd
Suite 215
Huntington Beach, CA 92648-4373

Mailing address

20422 Beach Blvd
Suite 215
Huntington Beach, CA 92648-4373
Phone (714) 313-5506

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414195200000",
    "number": "1144328196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20422 BEACH BLVD",
            "address_2": "SUITE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484373",
            "telephone_number": "714-313-5506",
            "fax_number": "714-441-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20422 BEACH BLVD",
            "address_2": "SUITE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484373",
            "telephone_number": "714-313-5506",
            "fax_number": "714-441-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBILIE",
        "first_name": "LISA",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "7324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; 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.