Shivali Panchal, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17434 Issued in CA

Practice address

678 S Indian Hill Blvd Ste 200
Claremont, CA 91711-6000

Phone

(714) 485-3982

NPI assigned

May 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Acu Symmetry

  • Acupuncturist
  • Claremont, CA
  • NPI 1053849075
  NPD (past) Authorized official

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255869756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 S INDIAN HILL BLVD STE 200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 S INDIAN HILL BLVD STE 200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116000",
            "telephone_number": "714-485-3982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1182 Monte Vista Ave Ste 15",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917868205",
            "country_code": "US",
            "telephone_number": "714-485-3982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "SHIVALI",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacifica Recovery, Inc.
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• Blair Kayne Paez-Wong, LMFT
• Kirby D Palmer, LCSW MSW
• Chelsea Cierra Pambianco
• Gregory Peter Pandzic, LCSW
• Jin Hewa Park, D.O.
• Ayanna Binta Parker, CD
• Christine Patel, PHARMD
• Krutav Patel, DDS

• All providers in Claremont, CA
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.