Organization Active NPI

Derby Acupuncture, Inc.

  • Acupuncturist
  • Culver City, CA
National Provider Identifier
1225865173
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DERBY ACUPUNCTURE, INC.
Practice address
4220 Overland Ave
Culver City, CA 90230-3736
Phone
(310) 896-8809
Fax
(866) 768-9051
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Derby Ho, L.AC.NPI 1205294162
Title
Ceo
Phone
(310) 896-8809

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 Primary

Addresses

Primary practice location

4220 Overland Ave
Culver City, CA 90230-3736

Mailing address

4220 Overland Ave
Culver City, CA 90230-3736
Phone (310) 896-8809

Other names 1

  • Derby Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

4220 Overland Ave
Culver City, CA 90230
Phone (310) 613-3835

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1225865173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902303736",
            "telephone_number": "310-896-8809",
            "fax_number": "866-768-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902303736",
            "telephone_number": "310-896-8809",
            "fax_number": "866-768-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBY ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "DERBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-896-8809",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derby Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.