Active NPI
Amy K. Lesage, DACM, L.AC.
- Acupuncturist
- Costa Mesa, CA
National Provider Identifier
1184791113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 11261
- Practice address
- 1122 Bristol St Ste 200
Costa Mesa, CA 92626-7972 - Phone
- (949) 631-5226
- NPI assigned
- Nov 28, 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 | AC 11261 | CA | Primary |
Addresses
Primary practice location
1122 Bristol St Ste 200
Costa Mesa, CA 92626-7972
Mailing address
10391 Hester Ave
Buena Park, CA 90620-4432
Phone (562) 505-3346
Other practice location 1
18821 Delaware St
Huntington Beach, CA 92648-1926
Phone (714) 963-3322
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 |
|---|---|---|---|
| AC 11261 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Propoint Sports Acupuncture Inc. | Acupuncturist | Current | Accepting new patients |
Locations
1122 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (949) 607-7164
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.
-
- Acupuncturist
- Costa Mesa, CA
- NPI 1639997950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1184791113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10391 HESTER AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204432",
"telephone_number": "562-505-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267972",
"telephone_number": "949-631-5226"
}
],
"practiceLocations": [
{
"address_1": "18821 Delaware St",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926481926",
"country_code": "US",
"telephone_number": "714-963-3322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESAGE",
"first_name": "AMY",
"middle_name": "K.",
"credential": "DACM, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 11261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.