Active NPI
Karina Poliva, LAC
- Acupuncturist
- Redlands, CA
National Provider Identifier
1295579837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19868
- Practice address
- 414 Tennessee St Ste E
Redlands, CA 92373-8152 - Phone
- (415) 244-6719
- NPI assigned
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19868 | CA | Primary |
Addresses
Primary practice location
414 Tennessee St Ste E
Redlands, CA 92373-8152
Mailing address
39382 Prospect Dr
Forest Falls, CA 92339-9698
Phone (415) 244-6719
Other practice location 1
39382 Prospect Dr
Forest Falls, CA 92339-9698
Phone (415) 244-6719
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19868 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1295579837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39382 PROSPECT DR",
"city": "FOREST FALLS",
"state": "CA",
"postal_code": "923399698",
"telephone_number": "415-244-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 TENNESSEE ST STE E",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738152",
"telephone_number": "415-244-6719"
}
],
"practiceLocations": [
{
"address_1": "39382 Prospect Dr",
"address_purpose": "LOCATION",
"city": "Forest Falls",
"state": "CA",
"postal_code": "923399698",
"country_code": "US",
"telephone_number": "415-244-6719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLIVA",
"first_name": "KARINA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.