Active NPI
Lisa Marie Bowen, L.AC., DIPL.AC.
- Acupuncturist
- Thousand Oaks, CA
National Provider Identifier
1245676246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 14202
- Practice address
- 268 Lombard St
Thousand Oaks, CA 91360-8223 - Phone
- (818) 317-0010
- Fax
- (805) 522-4998
- NPI assigned
- May 16, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Acupuncturist | 171100000X | AC 14202 | CA | Primary |
Addresses
Primary practice location
268 Lombard St
Thousand Oaks, CA 91360-8223
Mailing address
2911 Flanagan Dr
Simi Valley, CA 93063-5705
Phone (818) 317-0010
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 |
|---|---|---|---|
| AC 14202 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1245676246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 FLANAGAN DR",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930635705",
"telephone_number": "818-317-0010",
"fax_number": "805-522-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 LOMBARD ST",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913608223",
"telephone_number": "818-317-0010",
"fax_number": "805-522-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.AC., DIPL.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 14202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.