Individual provider Active NPI

Thomas Lee

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1144525007
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13023 Issued in CA
Practice address
9618 Garden Grove Blvd
Suite 221
Garden Grove, CA 92844-1563
Phone
(714) 539-6562
Fax
(714) 539-9077
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13023 CA Primary

Addresses

Primary practice location

9618 Garden Grove Blvd
Suite 221
Garden Grove, CA 92844-1563

Mailing address

9618 Garden Grove Blvd
Suite 221
Garden Grove, CA 92844-1563
Phone (714) 539-6562

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
AC13023CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture and Balanced Wellness, Inc. Acupuncturist CurrentSince Jan 26, 2022 Accepting new patients
Stanton University Acupuncturist Past Accepting new patients

Locations

43545 17th St W
Ste 501
Lancaster, CA 93534
Phone (661) 579-0200

Organizations & group practices 2

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1144525007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 GARDEN GROVE BLVD",
            "address_2": "SUITE 221",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441563",
            "telephone_number": "714-539-6562",
            "fax_number": "714-539-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 GARDEN GROVE BLVD",
            "address_2": "SUITE 221",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441563",
            "telephone_number": "714-539-6562",
            "fax_number": "714-539-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.