Amalia Gardner, L.Ac.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC16632 Issued in CA

Legal business name

AMALIA GARDNER, L.AC.

Doing business as

Pardon My Heart LA

Practice address

5028 Eagle Rock Blvd
Los Angeles, CA 90041-1908

Phone

(760) 579-9599

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amalia Tasoula Gardner, L.AC.NPI 1770962979

Title

Owner/Acupuncturist

Phone

(760) 579-9599

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pardon My Heart LA Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amalia Gardner

  • Acupuncturist
  • Chatsworth, CA
  • NPI 1770962979
  Authorized official Same address or phone
• Robin Paravecchio, LAC, MTOM

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1255841862
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1356854111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411908",
            "telephone_number": "760-579-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411908",
            "telephone_number": "760-579-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALIA GARDNER, L.AC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_middle_name": "TASOULA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "760-579-9599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770962979",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pardon My Heart LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yasaman Amanat, OTRL
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• Amanda Levy Family Inc.
• Amanecer Community Counseling Service, a Non-Profit Corporation
• Amanecer Community Counseling Service, a Non-Profit Corporation

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.