Scott Michael Eide, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 11147 Issued in CA

Practice address

11 Golden SHR
Suite 220
Long Beach, CA 90802-4214

Phone

(562) 495-5898

Fax

(562) 983-5454

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Impact Chiropractic, Smith Chiropractic Inc.

  • Chiropractor
  • Long Beach, CA
  • NPI 1013550409
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457576290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 CLARK AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152523",
            "telephone_number": "562-822-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GOLDEN SHR",
            "address_2": "SUITE 220",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024214",
            "telephone_number": "562-495-5898",
            "fax_number": "562-983-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDE",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 11147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehab Samaan DDS, Inc
• Stephanie Marie Ehren, LCSW
• Enjoli Chelise Eichelberger
• Megan Joy Eide, MS, CCC-SLP
• Michael James Eide, LMFT
• Valerie Eigen, LICSW
• Eight Figure Holdings Inc
• Eight Figure Home Health
• Lauren Michelle Eisenberg, NP
• Stacy Eisenberg, PH.D.

• Acupuncturist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Acupuncturist in California

• 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.