Active NPI
Nicole J. Corbett, L.AC.
- Acupuncturist
- Toluca Lake, CA
National Provider Identifier
1316095557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 7292
- Practice address
- 10651 Riverside Dr
Toluca Lake, CA 91602-2341 - Phone
- (818) 506-7401
- NPI assigned
- Jan 6, 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 7292 | CA | Primary |
Addresses
Primary practice location
10651 Riverside Dr
Toluca Lake, CA 91602-2341
Mailing address
1430 N Avon St
Burbank, CA 91505-1817
Phone (818) 845-1926
Other names 1
- Nicky J. Corbett
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 7292 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316095557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 N AVON ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051817",
"telephone_number": "818-845-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10651 RIVERSIDE DR",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022341",
"telephone_number": "818-506-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "NICOLE",
"middle_name": "J.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 7292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICKY",
"last_name": "CORBETT",
"middle_name": "J.",
"credential": "L.AC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Toluca Lake, 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.