Active NPI
Andrea T Clow, L.AC, LMT
- Acupuncturist
- Hawthorne, CA
National Provider Identifier
1427305754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 14910
- Practice address
- 14650 Aviation Blvd
Suite 100
Hawthorne, CA 90250-6668 - Phone
- (310) 725-8505
- NPI assigned
- Aug 6, 2012
- 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 | AC 14910 | CA | Primary |
Addresses
Primary practice location
14650 Aviation Blvd
Suite 100
Hawthorne, CA 90250-6668
Mailing address
255 W 7TH St
Apt 22
San Pedro, CA 90731-0300
Phone (704) 796-5220
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 |
|---|---|---|---|
| AC 14910 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panacea Health & Wellness, LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1427305754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W 7TH ST",
"address_2": "APT 22",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907310300",
"telephone_number": "704-796-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14650 AVIATION BLVD",
"address_2": "SUITE 100",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506668",
"telephone_number": "310-725-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOW",
"first_name": "ANDREA",
"middle_name": "T",
"credential": "L.AC, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 14910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.