Individual provider Active NPI

Helen Song, OMD OR LAC

  • Acupuncturist
  • Gardena, CA
National Provider Identifier
1497875629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6819 Issued in CA
Practice address
15435 S Western Ave
#203
Gardena, CA 90249
Phone
(310) 324-2791
Fax
(310) 324-2791
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6819 CA Primary

Addresses

Primary practice location

15435 S Western Ave
#203
Gardena, CA 90249

Mailing address

15435 S Western Ave
#203
Gardena, CA 90249
Phone (310) 324-2791

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
AC6819CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Zema Acupuncture, Inc. Acupuncturist CurrentSince Jul 24, 2022 Accepting new patients

Locations

15435 S Western Ave
Ste 203
Gardena, CA 90249
Phone (310) 324-2791

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497875629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE",
            "address_2": "#203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-324-2791",
            "fax_number": "310-324-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE",
            "address_2": "#203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-324-2791",
            "fax_number": "310-324-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "HELEN",
        "credential": "OMD OR LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.