Individual provider Active NPI

Bodo Klawonn, L.AC

  • Acupuncturist
  • Turlock, CA
National Provider Identifier
1487724027
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 4911 Issued in CA
Practice address
1560 Geer Rd
Suite F
Turlock, CA 95380-3233
Phone
(209) 632-1162
Fax
(209) 632-1162
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 4911 CA Primary

Addresses

Primary practice location

1560 Geer Rd
Suite F
Turlock, CA 95380-3233

Mailing address

544-A Precita Ave.
San Francisco, CA 94110-4720
Phone (415) 647-6689

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
AC 4911CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1487724027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544-A PRECITA AVE.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104720",
            "telephone_number": "415-647-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 GEER RD",
            "address_2": "SUITE F",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953803233",
            "telephone_number": "209-632-1162",
            "fax_number": "209-632-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAWONN",
        "first_name": "BODO",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.