Organization Active NPI

Double Lotus Acupuncture Prof Corp

Doing business as Double Lotus Acupuncture & Herbs

  • Acupuncturist
  • Grass Valley, CA
National Provider Identifier
1265131734
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DOUBLE LOTUS ACUPUNCTURE PROF CORP
Doing business as
Double Lotus Acupuncture & Herbs
Practice address
152 Mill St Ste G
Grass Valley, CA 95945-4771
Phone
(530) 648-4192
Fax
(530) 802-5029
NPI assigned
Feb 23, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Abigail Amanda Crimm, DACM, LACNPI 1649923673
Title
President
Phone
(530) 648-4192

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
Acupuncturist 171100000X Primary

Addresses

Primary practice location

152 Mill St Ste G
Grass Valley, CA 95945-4771

Mailing address

152 Mill St Ste G
Grass Valley, CA 95945-4771
Phone (530) 648-4192

Other names 1

  • Double Lotus Acupuncture & Herbs Doing business as

National Provider Directory

National Provider Directory

Locations

152 Mill St
Ste G
Grass Valley, CA 95945
Phone (530) 575-1506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1265131734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MILL ST STE G",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454771",
            "telephone_number": "530-648-4192",
            "fax_number": "530-802-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MILL ST STE G",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454771",
            "telephone_number": "530-648-4192",
            "fax_number": "530-802-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE LOTUS ACUPUNCTURE PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "CRIMM",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-648-4192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Double Lotus Acupuncture & Herbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.