Active NPI
Sarah Clark
- Acupuncturist
- Kailua, HI
National Provider Identifier
1396450755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-1406-0
- Practice address
- 228 Kuulei Rd
Kailua, HI 96734-2720 - Phone
- (808) 261-8181
- NPI assigned
- Jan 20, 2023
- Last updated
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19609 | CA | |
| Acupuncturist | 171100000X | ACU-1406-0 | HI | Primary |
Addresses
Primary practice location
228 Kuulei Rd
Kailua, HI 96734-2720
Mailing address
5000 S Centinela Ave Apt 131
Los Angeles, CA 90066-6900
Other practice location 1
2310 Artesia Blvd
Redondo Beach, CA 90278-3114
Phone (310) 372-2063
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 |
|---|---|---|---|
| ACU-1406-0 | HI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kailua Wellness Center, LLC | Acupuncturist | Current | Accepting new patients |
Locations
228 Kuulei Rd
Kailua, HI 96734
Phone (808) 261-8181
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1396450755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 S CENTINELA AVE APT 131",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 KUULEI RD",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342720",
"telephone_number": "808-261-8181"
}
],
"practiceLocations": [
{
"address_1": "2310 Artesia Blvd",
"address_purpose": "LOCATION",
"city": "Redondo Beach",
"state": "CA",
"postal_code": "902783114",
"country_code": "US",
"telephone_number": "310-372-2063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19609",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU-1406-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.