Individual provider Active NPI

Paloma Fataar, LAC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1497127963
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16857 Issued in CA
Practice address
8217 Beverly Blvd Ste 7
Los Angeles, CA 90048-4534
Phone
(424) 284-9412
NPI assigned
Oct 23, 2015
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 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 16857 CA Primary

Addresses

Primary practice location

8217 Beverly Blvd Ste 7
Los Angeles, CA 90048-4534

Mailing address

1533 S Holt Ave
Los Angeles, CA 90035-3610
Phone (510) 326-5604

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
16857CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1497127963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 S HOLT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353610",
            "telephone_number": "510-326-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8217 BEVERLY BLVD STE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484534",
            "telephone_number": "424-284-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAAR",
        "first_name": "PALOMA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16857",
            "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 Feb 25, 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.