Active NPI
Maureen Alexander, L.AC. CMT. MTOM.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1487081543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 15309
- Practice address
- 12667 Dewey St
Los Angeles, CA 90066-1535 - Phone
- (570) 337-0712
- NPI assigned
- Oct 3, 2013
- Last updated
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 15309 | CA | Primary |
Addresses
Primary practice location
12667 Dewey St
Los Angeles, CA 90066-1535
Mailing address
12667 Dewey St
Los Angeles, CA 90066-1535
Phone (570) 337-0712
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15309 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1487081543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12667 DEWEY ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661535",
"telephone_number": "570-337-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12667 DEWEY ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661535",
"telephone_number": "570-337-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "MAUREEN",
"credential": "L.AC. CMT. MTOM.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "15309",
"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 Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.