Individual provider Active NPI

Amy K. Lesage, DACM, L.AC.

  • Acupuncturist
  • Costa Mesa, CA
National Provider Identifier
1184791113
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 11261 Issued in CA
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

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC 11261CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Propoint Sports Acupuncture Inc. Acupuncturist CurrentSince Sep 29, 2024 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.

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.

Verify at the official NPI Registry.