Individual provider Active NPI

Jessica Rad, DAOM, L.AC

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1194407494
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19813 Issued in CA
Practice address
1807 Wilshire Blvd Ste B
Santa Monica, CA 90403-5678
Phone
(310) 453-8383
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19813 CA Primary

Addresses

Primary practice location

1807 Wilshire Blvd Ste B
Santa Monica, CA 90403-5678

Mailing address

13636 Ventura Blvd.
PO Box 325
Sherman Oaks, CA 91423
Phone (818) 208-1627

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1194407494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 VENTURA BLVD.",
            "address_2": "PO BOX 325",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91423",
            "telephone_number": "818-208-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD STE B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035678",
            "telephone_number": "310-453-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAD",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DAOM, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.