Stefanie Marie Bennett, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9255 Issued in CA

Practice address

18046 Magnolia
Fountain Valley, CA 92708-5603

Phone

(714) 962-5031

Fax

(714) 962-5039

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

• Stefanie Koch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bennett Acupuncture Inc

  • Acupuncturist
  • Fountain Valley, CA
  • NPI 1255894515
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1326054271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18627 BROOKHURST #507",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603",
            "telephone_number": "714-962-5031",
            "fax_number": "714-962-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18046 MAGNOLIA",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603",
            "telephone_number": "714-962-5031",
            "fax_number": "714-962-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEFANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "AC9255",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "KOCH",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benedict Yh Ching
• Holly Benedict, BT
• Michael Kraig Benefiel, M.D.
• Benjamin Ho MD Incorporated
• Bennett Acupuncture Inc
• Christopher James Berg, M.D.
• Joel A Berman, M.D.
• Jose Francisco Bermudez
• Bernard Turbow, M.D., Inc
• Bernard Turbow, M.D., Inc.

• Acupuncturist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.