Active NPI
Mark Anthony Franco, L.AC.
- Acupuncturist
- Panorama City, CA
National Provider Identifier
1184801904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC71970
- Practice address
- 8780 Van Nuys Blvd
Suite a
Panorama City, CA 91402-2412 - Phone
- (818) 894-4785
- Fax
- (818) 894-6061
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- 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 | AC71970 | CA | Primary |
Addresses
Primary practice location
8780 Van Nuys Blvd
Suite a
Panorama City, CA 91402-2412
Mailing address
8780 Van Nuys Blvd
Suite a
Panorama City, CA 91402-2412
Phone (818) 894-4785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0071970 | Medicaid | CA |
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 |
|---|---|---|---|
| AC71970 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Aquatic & Physical Therapy 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.
-
- Physical Therapist
- Van Nuys, CA
- NPI 1033149745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1184801904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8780 VAN NUYS BLVD",
"address_2": "SUITE A",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914022412",
"telephone_number": "818-894-4785",
"fax_number": "818-894-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8780 VAN NUYS BLVD",
"address_2": "SUITE A",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914022412",
"telephone_number": "818-894-4785",
"fax_number": "818-894-6061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCO",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC71970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC0071970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.