Individual provider Active NPI

Linda Coler Fields, DAOM, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1457739435
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16508 Issued in CA
Practice address
12655 W Washington Blvd Ste 106
Los Angeles, CA 90066-2399
Phone
(310) 943-9044
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC16508 CA Primary

Addresses

Primary practice location

12655 W Washington Blvd Ste 106
Los Angeles, CA 90066-2399

Mailing address

1130 20TH St
Apartment 2
Santa Monica, CA 90403-5638
Phone (310) 488-2790

Other practice location 1

1130 20th St
Apartment 2
Santa Monica, CA 90403-5638
Phone (310) 488-2790

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
AC16508CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Egg Acupuncture, Inc. Acupuncturist CurrentSince Nov 22, 2020 Accepting new patients

Locations

12655 W Washington Blvd
Ste 106
Los Angeles, CA 90066
Phone (310) 943-9044

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1457739435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 20TH ST",
            "address_2": "APARTMENT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035638",
            "telephone_number": "310-488-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 W WASHINGTON BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662399",
            "telephone_number": "310-943-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 20th St",
            "address_2": "Apartment 2",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035638",
            "country_code": "US",
            "telephone_number": "310-488-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "LINDA",
        "middle_name": "COLER",
        "name_prefix": "Dr.",
        "credential": "DAOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16508",
            "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 Mar 15, 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.