Individual provider Active NPI

James B. Perdue Jr., L.AC.

  • Acupuncturist
  • Palm Springs, CA
National Provider Identifier
1225092091
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8934 Issued in CA
Practice address
2150 East Tahquitz Canyon Way
Suite 5
Palm Springs, CA 92262-6817
Phone
(760) 327-3500
Fax
(760) 327-5233
NPI assigned
Apr 17, 2006
Last updated
Mar 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8934 CA Primary

Addresses

Primary practice location

2150 East Tahquitz Canyon Way
Suite 5
Palm Springs, CA 92262-6817

Mailing address

611 S. Palm Canyon Drive
Suite 7-574
Palm Springs, CA 92264-7453
Phone (760) 327-3500

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

State licenses

LicenseStateTypeSpecialty
AC8934CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Mountain Acupuncture CL Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1225092091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S. PALM CANYON DRIVE",
            "address_2": "SUITE 7-574",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647453",
            "telephone_number": "760-327-3500",
            "fax_number": "760-406-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 EAST TAHQUITZ CANYON WAY",
            "address_2": "SUITE 5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626817",
            "telephone_number": "760-327-3500",
            "fax_number": "760-327-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "JAMES",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.