Karla Sourasky Olmos, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0980 Issued in AZ

Practice address

10752 N 89TH PL Ste 209a
Scottsdale, AZ 85260-6251

Phone

(480) 243-2453

NPI assigned

Sep 25, 2015

Sex

Female

Sole proprietor

No

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

Locations

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.

• Alivia Acupuncture Clinic LLC

  • Acupuncturist
  • Scottsdale, AZ
  • NPI 1275097776
  NPD Authorized official

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1457721052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 209A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606251",
            "telephone_number": "480-243-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 209A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606251",
            "telephone_number": "480-243-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURASKY OLMOS",
        "first_name": "KARLA",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Surgery LLC
• Soul Surgery Silkworth Center LLC
• Soul Surgery Wilson Smith Center LLC
• Tonya Lee Soules, OT
• Soulspark, LLC
• Sourceone Hospice & Palliative Care, LLC
• Staci Sousa, RDH
• South Carolina Urgent Care Provider Network, LLC
• South Dakota Urgent Care Provicer Network, LLC
• South Scottsdale Dental Care L.L.C.

• Acupuncturist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.