Active NPI
Takeshi Komastsu, ATC., LAC., DAOM
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1154423093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 7799
- Practice address
- 11340 W Olympic Blvd
Suite340
Los Angeles, CA 90064-1608 - Phone
- (310) 991-0729
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 7799 | CA | Primary |
Addresses
Primary practice location
11340 W Olympic Blvd
Suite340
Los Angeles, CA 90064-1608
Mailing address
11340 W Olympic Blvd
Suite340
Los Angeles, CA 90064-1608
Phone (310) 991-0729
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7799 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1154423093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11340 W OLYMPIC BLVD",
"address_2": "SUITE340",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641608",
"telephone_number": "310-991-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 W OLYMPIC BLVD",
"address_2": "SUITE340",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641608",
"telephone_number": "310-991-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMASTSU",
"first_name": "TAKESHI",
"name_prefix": "Dr.",
"credential": "ATC., LAC., DAOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "7799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.