Active NPI
Vivian Montoya, DACCHM, L.AC
- Acupuncturist
- Culver City, CA
National Provider Identifier
1255160768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 20104
- Practice address
- 4323 Sepulveda Blvd
Culver City, CA 90230-4715 - Phone
- (213) 858-1418
- Fax
- (424) 378-5120
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 20104 | CA | Primary |
Addresses
Primary practice location
4323 Sepulveda Blvd
Culver City, CA 90230-4715
Mailing address
4323 Sepulveda Blvd
Culver City, CA 90230-4715
Phone (213) 858-1418
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 |
|---|---|---|---|
| 20104 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1255160768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4323 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304715",
"telephone_number": "213-858-1418",
"fax_number": "424-378-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304715",
"telephone_number": "213-858-1418",
"fax_number": "424-378-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "VIVIAN",
"name_prefix": "Dr.",
"credential": "DACCHM, L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "20104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 1, 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.