Dia Vickery, DACM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9644 Issued in CA

Practice address

20750 Ventura Blvd Ste 203
Woodland Hills, CA 91364-6693

Phone

(818) 578-6730

Fax

(818) 578-6731

NPI assigned

Dec 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dia Vickery PHD(Theology), Licensed Acupuncturist; a Professional Corp

  • Acupuncturist
  • Woodland Hills, CA
  • NPI 1720449051
  NPD Authorized official

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1407912595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD STE 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646693",
            "telephone_number": "818-578-6730",
            "fax_number": "818-578-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD STE 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646693",
            "telephone_number": "818-578-6730",
            "fax_number": "818-578-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "DIA",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.