Active NPI
Mandi Bartelle, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1194449835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19536
- Practice address
- 11340 W Olympic Blvd Ste 120
Los Angeles, CA 90064-1611 - Phone
- (805) 223-3615
- NPI assigned
- Sep 27, 2022
- 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 | 19536 | CA | Primary |
Addresses
Primary practice location
11340 W Olympic Blvd Ste 120
Los Angeles, CA 90064-1611
Mailing address
1297 Cypress Point LN Apt 103
Ventura, CA 93003-6095
Phone (805) 223-3615
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": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1194449835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 CYPRESS POINT LN APT 103",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036095",
"telephone_number": "805-223-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 W OLYMPIC BLVD STE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641611",
"telephone_number": "805-223-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTELLE",
"first_name": "MANDI",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.