Active NPI
Ndayapa Pussadhamma
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1407349913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC18001
- Practice address
- 1253 Vine St Ste 10
Los Angeles, CA 90038-1662 - Phone
- (323) 747-0987
- NPI assigned
- Jun 8, 2018
- 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 | AC18001 | CA | Primary |
Addresses
Primary practice location
1253 Vine St Ste 10
Los Angeles, CA 90038-1662
Mailing address
13079 Francisquito Ave
Baldwin Park, CA 91706-3704
Phone (626) 549-9675
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 |
|---|---|---|---|
| AC18001 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandee Wellness Center 2018, Inc | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1255824850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1407349913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13079 FRANCISQUITO AVE",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063704",
"telephone_number": "626-549-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 VINE ST STE 10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900381662",
"telephone_number": "323-747-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUSSADHAMMA",
"first_name": "NDAYAPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC18001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.