Active NPI
Jeramy Shirley, DIPL.OM, L.AC.
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1518472679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17321
- Practice address
- 528 Arizona Ave Ste 208
Santa Monica, CA 90401-1434 - Phone
- (310) 870-1719
- NPI assigned
- Dec 11, 2017
- Last updated
- Dec 11, 2017
- 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 | 17321 | CA | Primary |
Addresses
Primary practice location
528 Arizona Ave Ste 208
Santa Monica, CA 90401-1434
Mailing address
10670 Ayres Ave Apt 2
Los Angeles, CA 90064-3348
Phone (310) 870-1719
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 |
|---|---|---|---|
| 17321 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1518472679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10670 AYRES AVE APT 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643348",
"telephone_number": "310-870-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 ARIZONA AVE STE 208",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011434",
"telephone_number": "310-870-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "JERAMY",
"credential": "DIPL.OM, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.