Active NPI
Jasmine Casupanan, L.AC
- Acupuncturist
- Rancho Cucamonga, CA
National Provider Identifier
1184350951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC19140
- Practice address
- 9125 Archibald Ave Ste B
Rancho Cucamonga, CA 91730-5228 - Phone
- (909) 808-1406
- NPI assigned
- Jul 25, 2022
- 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 | AC19140 | CA | Primary |
Addresses
Primary practice location
9125 Archibald Ave Ste B
Rancho Cucamonga, CA 91730-5228
Mailing address
18307 Lapis LN
San Bernardino, CA 92407-8963
Phone (909) 997-5330
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 |
|---|---|---|---|
| AC19140 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1184350951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18307 LAPIS LN",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924078963",
"telephone_number": "909-997-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9125 ARCHIBALD AVE STE B",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305228",
"telephone_number": "909-808-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASUPANAN",
"first_name": "JASMINE",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC19140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.