Active NPI
J Miranda Brocki, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1306050844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 6426
- Practice address
- 11669 Santa Monica Blvd
Suite 206
Los Angeles, CA 90025-2992 - Phone
- (310) 312-9996
- NPI assigned
- May 10, 2007
- 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 | AC 6426 | CA | Primary |
Addresses
Primary practice location
11669 Santa Monica Blvd
Suite 206
Los Angeles, CA 90025-2992
Mailing address
11669 Santa Monica Blvd
Suite 206
Los Angeles, CA 90025-2992
Phone (310) 312-9996
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 |
|---|---|---|---|
| AC 6426 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306050844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11669 SANTA MONICA BLVD",
"address_2": "SUITE 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252992",
"telephone_number": "310-312-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11669 SANTA MONICA BLVD",
"address_2": "SUITE 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252992",
"telephone_number": "310-312-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKI",
"first_name": "J",
"middle_name": "MIRANDA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 6426",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.