NPIMap

Organization Active NPI

Golden Leaf Acupuncture, Inc

  • Acupuncturist
  • Berkeley, CA
National Provider Identifier
1205067626
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GOLDEN LEAF ACUPUNCTURE, INC
Practice address
2372 Ellsworth St, Ste E
Berkeley, CA 94704
Phone
(510) 549-3000
Fax
(510) 900-6577
NPI assigned
Aug 3, 2009
Last updated
Sep 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Dr. Anahita Forati, DAOM, LACNPI 1346420445
Title
Ceo
Phone
(510) 610-9316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10969 CA
Acupuncturist 171100000X Primary

Addresses

Primary practice location

2372 Ellsworth St, Ste E
Berkeley, CA 94704

Mailing address

2372 Ellsworth St, Ste E
Berkeley, CA 94704
Phone (510) 549-3000

Other names 1

  • Golden Leaf Community Acupuncture, Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1205067626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 ELLSWORTH ST, STE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-549-3000",
            "fax_number": "510-900-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 ELLSWORTH ST, STE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-549-3000",
            "fax_number": "510-900-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LEAF ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "FORATI",
        "authorized_official_first_name": "ANAHITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-610-9316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10969",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Leaf Community Acupuncture, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.