Individual provider Active NPI

Jamie Kristen Kuljis, DACM, L.AC

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1376286971
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19399 Issued in CA
Practice address
4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245
Phone
(310) 720-3062
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19399 CA Primary

Addresses

Primary practice location

4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245

Mailing address

4425 Atlantic Ave Ste A10
Long Beach, CA 90807-2245
Phone (562) 550-0925

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Bruce Chiropractic PC CurrentSince Apr 24, 2022 Accepting new patients

Locations

4425 Atlantic Ave
Ste A10
Long Beach, CA 90807
Phone (310) 720-3062

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1376286971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 ATLANTIC AVE STE A10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072245",
            "telephone_number": "562-550-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 ATLANTIC AVE STE A10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072245",
            "telephone_number": "310-720-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULJIS",
        "first_name": "JAMIE",
        "middle_name": "KRISTEN",
        "credential": "DACM, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.