Active NPI
Jessie Rei Yamasaki-Sanders, L.AC., DATM
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1184442907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC20188
- Practice address
- 2945 Rowena Ave
Los Angeles, CA 90039-2003 - Phone
- (323) 522-3822
- NPI assigned
- Oct 1, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | AC20188 | CA | Primary |
Addresses
Primary practice location
2945 Rowena Ave
Los Angeles, CA 90039-2003
Mailing address
4856 Round Top Dr
Los Angeles, CA 90065-5230
Phone (704) 941-9440
Other practice location 1
440 Shatto Pl
Los Angeles, CA 90020-1793
Phone (213) 487-0150
Other names 1
- Jessica Rei Vandenberg
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 |
|---|---|---|---|
| AC20188 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosalind Bullard Acupuncture Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1649760919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1184442907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 ROUND TOP DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900655230",
"telephone_number": "704-941-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 ROWENA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392003",
"telephone_number": "323-522-3822"
}
],
"practiceLocations": [
{
"address_1": "440 Shatto Pl",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900201793",
"country_code": "US",
"telephone_number": "213-487-0150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMASAKI-SANDERS",
"first_name": "JESSIE",
"middle_name": "REI",
"name_prefix": "Dr.",
"credential": "L.AC., DATM",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-10-01",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC20188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "VANDENBERG",
"middle_name": "REI",
"code": "1",
"type": "Former Name"
}
]
}
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 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.