Active NPI
Lucille Sadler David, L.AC.
- Acupuncturist
- Gardena, CA
National Provider Identifier
1184735573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC10538
- Practice address
- 16630 S Broadway
Gardena, CA 90248-2716 - Phone
- (310) 768-8155
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 | AC10538 | CA | Primary |
Addresses
Primary practice location
16630 S Broadway
Gardena, CA 90248-2716
Mailing address
6861 E Septimo St
Long Beach, CA 90815-5019
Phone (562) 310-8132
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 |
|---|---|---|---|
| AC10538 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1184735573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6861 E SEPTIMO ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908155019",
"telephone_number": "562-310-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16630 S BROADWAY",
"city": "GARDENA",
"state": "CA",
"postal_code": "902482716",
"telephone_number": "310-768-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "LUCILLE",
"middle_name": "SADLER",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC10538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.