Active NPI
Rose Ann Larsen, L.AC.
- Acupuncturist
- Newport Beach, CA
National Provider Identifier
1366563538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4579
- Practice address
- 4029 Westerly PL
Suite 110
Newport Beach, CA 92660-2318 - Phone
- (949) 251-1109
- Fax
- (949) 475-0165
- NPI assigned
- Apr 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4579 | CA | Primary |
Addresses
Primary practice location
4029 Westerly PL
Suite 110
Newport Beach, CA 92660-2318
Mailing address
4029 Westerly PL
Suite 110
Newport Beach, CA 92660-2318
Phone (949) 251-1109
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC4579 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366563538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4029 WESTERLY PL",
"address_2": "SUITE 110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602318",
"telephone_number": "949-251-1109",
"fax_number": "949-475-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4029 WESTERLY PL",
"address_2": "SUITE 110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602318",
"telephone_number": "949-251-1109",
"fax_number": "949-475-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ROSE",
"middle_name": "ANN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Javier Lara
- Shanti Lara
- David Larkin, M.D.
- Larry S Nichter MD & Jed H Horowitz MD (Pacific Center for Plastic Surgery)
- Asal Larry, MFT
- Sarah Nasser Larsen, MED. ,LPC,LPCC
- Garrett Larson
- John Larson, M.D.
- Scott Wesley Larson, PH.D.
- Laser Eye Care of California, LLC (TLC Laser Eye Centers Newport Beach)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.