Andrea Tijmes, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19003 Issued in CA

Practice address

12304 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-1542

Phone

(512) 740-0254

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Well Women Acupuncture

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1013239326
  NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1174105233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 IDAHO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033109",
            "telephone_number": "512-740-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "512-740-0254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11980 San Vicente Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900496602",
            "country_code": "US",
            "telephone_number": "310-826-3706",
            "fax_number": "310-826-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIJMES",
        "first_name": "ANDREA",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "90049",
            "affiliation": "Y",
            "affiliationName": "Well Women Acupuncture",
            "address_1": "11980 San Vicente Blvd Ste 112",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900496602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Ann Tiggs
• Mallory Tighe
• Linda Tigner-Weekes I, M.D.
• Tanesha Tigner
• Shushan Tigranyan
• Jing Huang Tikosky, N.P.
• Girma Tilahun
• Viliami Tillage
• Christopher Tiller, CPHT
• George E. Tiller, MD

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.