Individual provider Active NPI

Pontea Hariri, DACCHM, L.AC.

  • Acupuncturist
  • Thousand Oaks, CA
National Provider Identifier
1316818909
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
20423 Issued in CA
Practice address
3180 Willow LN Ste 114
Thousand Oaks, CA 91361-4984
Phone
(818) 232-8432
Fax
(818) 232-8433
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 20423 CA Primary

Addresses

Primary practice location

3180 Willow LN Ste 114
Thousand Oaks, CA 91361-4984

Mailing address

3180 Willow LN Ste 114
Thousand Oaks, CA 91361-4984
Phone (818) 232-8432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3180 Willow LN
Suite 114
Thousand Oaks, CA 91361-4984
Phone (818) 430-6029

6710 Variel Ave
Apt 407
Canoga Park, CA 91303-2809

6710 Variel Ave Apt
Suite 407
Canoga Park, CA 91303-4806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1316818909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 114",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614984",
            "telephone_number": "818-232-8432",
            "fax_number": "818-232-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN STE 114",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614984",
            "telephone_number": "818-232-8432",
            "fax_number": "818-232-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIRI",
        "first_name": "PONTEA",
        "name_prefix": "Dr.",
        "credential": "DACCHM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.