Individual provider Active NPI

Tammy Pak, L.AC

  • Acupuncturist
  • Thousand Oaks, CA
National Provider Identifier
1366516346
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9408 Issued in CA
Practice address
299 W Hillcrest Dr Ste 206
Thousand Oaks, CA 91360-7836
Phone
(805) 432-4936
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9408 CA Primary

Addresses

Primary practice location

299 W Hillcrest Dr Ste 206
Thousand Oaks, CA 91360-7836

Mailing address

15738 Lahey St
Granada Hills, CA 91344-4339
Phone (818) 425-3416

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

LicenseStateTypeSpecialty
9408CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Blessings Acupuncture Inc Acupuncturist CurrentSince May 25, 2025 Accepting new patients

Locations

299 W Hillcrest Dr
Ste 206
Thousand Oaks, CA 91360
Phone (805) 432-4936

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1366516346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15738 LAHEY ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444339",
            "telephone_number": "818-425-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR STE 206",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607836",
            "telephone_number": "805-432-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "TAMMY",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.