NPIMap

Organization Active NPI

Vida Life Acupuncture Medical Care

  • Acupuncturist
  • Valley Village, CA
National Provider Identifier
1295106490
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16776 Issued in CA
Legal business name
VIDA LIFE ACUPUNCTURE MEDICAL CARE
Practice address
12840 Riverside Dr
401
Valley Village, CA 91607-3327
Phone
(818) 453-4074
NPI assigned
Oct 13, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Chloe Elias, L.ACNPI 1578933412
Title
Licensed Acupuncturist
Phone
(818) 453-4074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16776 CA Primary
Acupuncturist 171100000X 14314 CA

Addresses

Primary practice location

12840 Riverside Dr
401
Valley Village, CA 91607-3327

Mailing address

12840 Riverside Dr
401
Valley Village, CA 91607-3327
Phone (818) 453-4074

Other names 1

  • Vida Life Acupuncture Other name

National Provider Directory

National Provider Directory

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": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1295106490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR",
            "address_2": "401",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "818-453-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR",
            "address_2": "401",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "818-453-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA LIFE ACUPUNCTURE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "818-453-4074",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16776",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Life Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.