Individual provider Active NPI

Marion Jane Dunham, LAC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1285241596
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18936 Issued in CA
Practice address
3273 Casitas Ave Ste 106
Los Angeles, CA 90039-2205
Phone
(415) 632-8947
NPI assigned
Sep 30, 2020
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18936 CA Primary

Addresses

Primary practice location

3273 Casitas Ave Ste 106
Los Angeles, CA 90039-2205

Mailing address

1048 Everett PL Apt 3
Los Angeles, CA 90026-4446
Phone (415) 632-8947

Other practice location 1

1048 Everett Pl Apt 3
Los Angeles, CA 90026-4446
Phone (415) 632-8947

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

LicenseStateTypeSpecialty
18936CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Dunham Acupuncture Inc. Acupuncturist CurrentSince Jan 7, 2024 Accepting new patients

Locations

3273 Casitas Ave
Ste 106
Los Angeles, CA 90039
Phone (415) 632-8947

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1285241596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 EVERETT PL APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264446",
            "telephone_number": "415-632-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 CASITAS AVE STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392205",
            "telephone_number": "415-632-8947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 Everett Pl Apt 3",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264446",
            "country_code": "US",
            "telephone_number": "415-632-8947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "MARION",
        "middle_name": "JANE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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

Verify at the official NPI Registry.