Individual provider Active NPI

Cinda Danielle Van Lierop, L.AC., MSTCM

  • Acupuncturist
  • Larkspur, CA
National Provider Identifier
1184940504
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13606 Issued in CA
Practice address
5 Bon Air Rd Ste 127
Larkspur, CA 94939-1139
Phone
(415) 596-1600
Fax
(415) 523-9881
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13606 CA Primary

Addresses

Primary practice location

5 Bon Air Rd Ste 127
Larkspur, CA 94939-1139

Mailing address

5 Bon Air Rd Ste 127
Larkspur, CA 94939-1139
Phone (415) 596-1600

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1184940504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 127",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391139",
            "telephone_number": "415-596-1600",
            "fax_number": "415-523-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 127",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391139",
            "telephone_number": "415-596-1600",
            "fax_number": "415-523-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LIEROP",
        "first_name": "CINDA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "L.AC., MSTCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.