NPIMap

Organization Active NPI

Body Balance Acupuncture

  • Acupuncturist
  • Lakewood, CA
National Provider Identifier
1306118765
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 11494 Issued in CA
Legal business name
BODY BALANCE ACUPUNCTURE
Practice address
5220 Clark Ave
Suite 330
Lakewood, CA 90712-2618
Phone
(562) 925-0111
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Mr. Lincoln Jose Fraga, LACNPI 1619186129
Title
Owner
Phone
(562) 925-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 11494 CA Primary

Addresses

Primary practice location

5220 Clark Ave
Suite 330
Lakewood, CA 90712-2618

Mailing address

5220 Clark Ave
Suite 330
Lakewood, CA 90712-2618
Phone (562) 925-0111

National Provider Directory

National Provider Directory

Locations

5220 Clark Ave
Ste 330
Lakewood, CA 90712
Phone (562) 925-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1306118765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 CLARK AVE",
            "address_2": "SUITE 330",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122618",
            "telephone_number": "562-925-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 CLARK AVE",
            "address_2": "SUITE 330",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122618",
            "telephone_number": "562-925-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-925-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 11494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.