Individual provider Active NPI

Susan Hopkins Jeffries, SUSAN JEFFRIES, L.AC

  • Acupuncturist
  • Ladera Ranch, CA
National Provider Identifier
1437487279
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13248 Issued in CA
Practice address
1701 Corporate Dr
C5
Ladera Ranch, CA 92694-2125
Phone
(949) 429-8787
Fax
(949) 429-8077
NPI assigned
Dec 4, 2009
Last updated
Jun 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13248 CA Primary

Addresses

Primary practice location

1701 Corporate Dr
C5
Ladera Ranch, CA 92694-2125

Mailing address

663 Anita St
Laguna Beach, CA 92651-2905
Phone (949) 412-6815

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
AC13248CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ladera Chiropractic and Wellness, Khreich and Cisneros Corp Past Accepting new patients
Ladera Chiropractic and Wellness Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1437487279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 ANITA ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512905",
            "telephone_number": "949-412-6815",
            "fax_number": "949-296-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CORPORATE DR",
            "address_2": "C5",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942125",
            "telephone_number": "949-429-8787",
            "fax_number": "949-429-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "SUSAN",
        "middle_name": "HOPKINS",
        "credential": "SUSAN JEFFRIES, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.