Elaine M Hensley, PHD, DIPL. O.M., LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17647 Issued in CA

Practice address

2060 E. Route 66
Suite 201 (Inside Lotus Health & Wellness)
Glendora, CA 91740-9174

Phone

(818) 288-1164

NPI assigned

Jun 21, 2017

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1265952360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 W CALLE DEL SOL APT 1",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021638",
            "telephone_number": "818-288-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E. ROUTE 66",
            "address_2": "SUITE 201 (INSIDE LOTUS HEALTH & WELLNESS)",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917409174",
            "telephone_number": "818-288-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1168 W Calle Del Sol Apt 1",
            "address_purpose": "LOCATION",
            "city": "Azusa",
            "state": "CA",
            "postal_code": "917021638",
            "country_code": "US",
            "telephone_number": "818-288-1164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, DIPL. O.M., LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17647",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "73264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "17647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Glendora, CA
• Providers in Glendora, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.