Individual provider Active NPI

Elena K Shateni, LAC

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1437222817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11101 Issued in CA
Practice address
1448 15TH St Ste 105
Santa Monica, CA 90404-2756
Phone
(310) 210-6393
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11101 CA Primary

Addresses

Primary practice location

1448 15TH St Ste 105
Santa Monica, CA 90404-2756

Mailing address

531 N Orlando Ave
Suite #6
West Hollywood, CA 90048-2529
Phone (310) 210-6393

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

LicenseStateTypeSpecialty
11101CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437222817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N ORLANDO AVE",
            "address_2": "SUITE #6",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900482529",
            "telephone_number": "310-210-6393",
            "fax_number": "323-782-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 15TH ST STE 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042756",
            "telephone_number": "310-210-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATENI",
        "first_name": "ELENA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.