Active NPI
Eva Lisa Ross, L.AC.
- Acupuncturist
- Malibu, CA
National Provider Identifier
1437362449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC10553
- Practice address
- 21355 Pacific Coast Hwy
Suite 201
Malibu, CA 90265-5250 - Phone
- (310) 317-1554
- Fax
- (310) 317-1553
- NPI assigned
- May 7, 2007
- Last updated
- Sep 8, 2008
- 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 | AC10553 | CA | Primary |
Addresses
Primary practice location
21355 Pacific Coast Hwy
Suite 201
Malibu, CA 90265-5250
Mailing address
21355 Pacific Coast Hwy
Suite 201
Malibu, CA 90265-5250
Phone (310) 317-1554
Other names 1
- Miss Eva Lisa Spens
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 |
|---|---|---|---|
| AC10553 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1437362449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21355 PACIFIC COAST HWY",
"address_2": "SUITE 201",
"city": "MALIBU",
"state": "CA",
"postal_code": "902655250",
"telephone_number": "310-317-1554",
"fax_number": "310-317-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21355 PACIFIC COAST HWY",
"address_2": "SUITE 201",
"city": "MALIBU",
"state": "CA",
"postal_code": "902655250",
"telephone_number": "310-317-1554",
"fax_number": "310-317-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "EVA",
"middle_name": "LISA",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC10553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EVA",
"last_name": "SPENS",
"middle_name": "LISA",
"prefix": "MISS",
"credential": "L.AC.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Malibu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.