Individual provider Active NPI

Lisa Lee, LAC., CMT

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1467025544
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19170 Issued in CA
Practice address
1777 N Bellflower Blvd Ste 107
Long Beach, CA 90815-4019
Phone
(616) 843-4033
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19170 CA Primary

Addresses

Primary practice location

1777 N Bellflower Blvd Ste 107
Long Beach, CA 90815-4019

Mailing address

333 1St St Apt B116
Seal Beach, CA 90740-6617
Phone (616) 843-4033

Other practice location 1

6695 E Pacific Coast Hwy Ste 250
Long Beach, CA 90803-4256
Phone (562) 430-8501

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reset Acupuncture Inc Acupuncturist Current Accepting new patients

Locations

1777 N Bellflower Blvd
Ste 107
Long Beach, CA 90815
Phone (562) 446-7586

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1467025544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 1ST ST APT B116",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406617",
            "telephone_number": "616-843-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 107",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154019",
            "telephone_number": "616-843-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6695 E Pacific Coast Hwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908034256",
            "country_code": "US",
            "telephone_number": "562-430-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LISA",
        "credential": "LAC., CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.