Individual provider Active NPI

Rochelle Marie Gallenson, LAC, DIPLM OM

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1447695382
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15268 Issued in CA
Practice address
13115 W Washington Blvd
Los Angeles, CA 90066-5125
Phone
(424) 625-9812
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15268 CA Primary

Addresses

Primary practice location

13115 W Washington Blvd
Los Angeles, CA 90066-5125

Mailing address

3936 Inglewood Blvd
Unit 7
Los Angeles, CA 90066-4550
Phone (424) 625-9812

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
15268CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1447695382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 INGLEWOOD BLVD",
            "address_2": "UNIT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664550",
            "telephone_number": "424-625-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665125",
            "telephone_number": "424-625-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLENSON",
        "first_name": "ROCHELLE",
        "middle_name": "MARIE",
        "credential": "LAC, DIPLM OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.