Individual provider Active NPI

Jennifer Canfield, L.AC., DIPL OM, MS,

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1316369804
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15679 Issued in CA
Practice address
2222 Santa Monica Blvd
Suite 105
Santa Monica, CA 90404-2304
Phone
(310) 828-8258
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15679 CA Primary

Addresses

Primary practice location

2222 Santa Monica Blvd
Suite 105
Santa Monica, CA 90404-2304

Mailing address

3110 Broadway
Santa Monica, CA 90404-3263

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1316369804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 BROADWAY",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD",
            "address_2": "SUITE 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042304",
            "telephone_number": "310-828-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "JENNIFER",
        "credential": "L.AC., DIPL OM, MS,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.