Active NPI
Elizabeth Mara Kraut, L.AC.,DIPL.O.M.
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1174726830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10990
- Practice address
- 719 Santa Monica Blvd
Santa Monica, CA 90401-2601 - Phone
- (310) 260-9039
- Fax
- (310) 260-1091
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- 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 | 10990 | CA | Primary |
Addresses
Primary practice location
719 Santa Monica Blvd
Santa Monica, CA 90401-2601
Mailing address
22 28TH Ave
Venice, CA 90291-4306
Phone (310) 850-9786
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": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1174726830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 28TH AVE",
"city": "VENICE",
"state": "CA",
"postal_code": "902914306",
"telephone_number": "310-850-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012601",
"telephone_number": "310-260-9039",
"fax_number": "310-260-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUT",
"first_name": "ELIZABETH",
"middle_name": "MARA",
"name_prefix": "Ms.",
"credential": "L.AC.,DIPL.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "10990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.