NPIMap

Organization Active NPI

Green Oasis Acupuncture, Inc

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1205088812
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11652 Issued in CA
Legal business name
GREEN OASIS ACUPUNCTURE, INC
Practice address
1454 Cloverfield Blvd
Suite 240
Santa Monica, CA 90404-2980
Phone
(310) 857-8776
Fax
(310) 315-2135
NPI assigned
Oct 14, 2008
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Jill R. Lytle, L.ACNPI 1790976603
Title
President/Acupuncturist
Phone
(310) 857-8776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC11652 CA Primary

Addresses

Primary practice location

1454 Cloverfield Blvd
Suite 240
Santa Monica, CA 90404-2980

Mailing address

1454 Cloverfield Blvd
Suite 240
Santa Monica, CA 90404-2980
Phone (310) 857-8776

National Provider Directory

National Provider Directory

Locations

1454 Cloverfield Blvd
Ste 240
Santa Monica, CA 90404
Phone (310) 315-4300

Practitioners & affiliated clinicians

Practitioners 4

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": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1205088812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 CLOVERFIELD BLVD",
            "address_2": "SUITE 240",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042980",
            "telephone_number": "310-857-8776",
            "fax_number": "310-315-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 CLOVERFIELD BLVD",
            "address_2": "SUITE 240",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042980",
            "telephone_number": "310-857-8776",
            "fax_number": "310-315-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OASIS ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "LYTLE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/ACUPUNCTURIST",
        "authorized_official_telephone_number": "310-857-8776",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11652",
            "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 Oct 14, 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.

Verify at the official NPI Registry.