Active NPI
Lauren Sara Civello, L.AC.
- Acupuncturist
- Encino, CA
National Provider Identifier
1497530760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10500
- Practice address
- 17525 Ventura Blvd Ste 108
Encino, CA 91316-5106 - Phone
- (818) 817-0049
- Fax
- (818) 817-0958
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 10500 | CA | Primary |
Addresses
Primary practice location
17525 Ventura Blvd Ste 108
Encino, CA 91316-5106
Mailing address
17525 Ventura Blvd Ste 108
Encino, CA 91316-5106
Phone (818) 817-0049
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 |
|---|---|---|---|
| 10500 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1497530760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17525 VENTURA BLVD STE 108",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165106",
"telephone_number": "818-817-0049",
"fax_number": "818-817-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17525 VENTURA BLVD STE 108",
"city": "ENCINO",
"state": "CA",
"postal_code": "913165106",
"telephone_number": "818-817-0049",
"fax_number": "818-817-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIVELLO",
"first_name": "LAUREN",
"middle_name": "SARA",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "10500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.