Lisa Angela Esparza, L.AC.,MASTERS, B.S.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11534 Issued in CA

Practice address

1010 E Grand Ave
Arroyo Grande, CA 93420-2505

Phone

(805) 710-6526

Fax

(805) 481-5893

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Lisa Angela Wagenseil Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316065717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1840",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934481840",
            "telephone_number": "805-710-6526",
            "fax_number": "805-481-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E GRAND AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202505",
            "telephone_number": "805-710-6526",
            "fax_number": "805-481-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "LISA",
        "middle_name": "ANGELA",
        "credential": "L.AC.,MASTERS, B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "171100000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WAGENSEIL",
            "middle_name": "ANGELA",
            "prefix": "MRS.",
            "credential": "MASTER, B.S. LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Acupuncturist in California

• 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.

Verify at the official NPI Registry.