Active NPI
David S Lee, A.C.
- Acupuncturist
- Granada Hills, CA
National Provider Identifier
1174738884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7136
- Practice address
- 17539 Chatsworth St
Granada Hills, CA 91344-5720 - Phone
- (818) 815-8015
- Fax
- (818) 815-8015
- NPI assigned
- May 14, 2007
- 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 | AC7136 | CA | Primary |
Addresses
Primary practice location
17539 Chatsworth St
Granada Hills, CA 91344-5720
Mailing address
17539 Chatsworth St
Granada Hills, CA 91344-5720
Phone (818) 815-8015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC7136 | Other | CA | ACUPUNCTURE LICENCE |
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 |
|---|---|---|---|
| AC7136 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1174738884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17539 CHATSWORTH ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445720",
"telephone_number": "818-815-8015",
"fax_number": "818-815-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17539 CHATSWORTH ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445720",
"telephone_number": "818-815-8015",
"fax_number": "818-815-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "A.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENCE",
"identifier": "AC7136",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.