Active NPI
Ellen Geheber Davis, LAC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1235526005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16531
- Practice address
- 11965 Venice Blvd
Suite 407
Los Angeles, CA 90066-3979 - Phone
- (424) 625-4228
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 16531 | CA | Primary |
Addresses
Primary practice location
11965 Venice Blvd
Suite 407
Los Angeles, CA 90066-3979
Mailing address
8346 Manitoba St
Apt 3
Playa del Rey, CA 90293-8217
Phone (310) 490-3067
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16531 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Points by Ellen | Current | 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 and National Provider Directory roles.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1659191740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1235526005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8346 MANITOBA ST",
"address_2": "APT 3",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902938217",
"telephone_number": "310-490-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11965 VENICE BLVD",
"address_2": "SUITE 407",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663979",
"telephone_number": "424-625-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELLEN",
"middle_name": "GEHEBER",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16531",
"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 Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.