Individual provider Active NPI

William Anthony Sandifer

  • Acupuncturist
  • Huntington Beach, CA
National Provider Identifier
1467128900
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19168 Issued in CA
Practice address
18351 Beach Blvd Ste B
Huntington Beach, CA 92648-1346
Phone
(714) 913-3310
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 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 19168 CA Primary

Addresses

Primary practice location

18351 Beach Blvd Ste B
Huntington Beach, CA 92648-1346

Mailing address

18351 Beach Blvd Ste B
Huntington Beach, CA 92648-1346
Phone (714) 913-3310

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
19168CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Stress Anxiety Acupuncture Professional Corp Acupuncturist CurrentSince Apr 14, 2024 Accepting new patients
Chiropractic Beyond Foundation CurrentSince Feb 4, 2024 Accepting new patients

Locations

18351 Beach Blvd
Ste B
Huntington Beach, CA 92648
Phone (714) 913-3310

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1467128900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18351 BEACH BLVD STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481346",
            "telephone_number": "714-913-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18351 BEACH BLVD STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481346",
            "telephone_number": "714-913-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIFER",
        "first_name": "WILLIAM",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.