Active NPI
Palerath Natalie Jiaravanont, LAC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1548714678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14970
- Practice address
- 13315 W Washington Blvd
Suite 304
Los Angeles, CA 90066-5169 - Phone
- (646) 792-6313
- NPI assigned
- Aug 5, 2016
- 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 | 14970 | CA | Primary |
Addresses
Primary practice location
13315 W Washington Blvd
Suite 304
Los Angeles, CA 90066-5169
Mailing address
12924 Discovery CRK
Playa Vista, CA 90094-2207
Phone (646) 729-6313
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 |
|---|---|---|---|
| 14970 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1548714678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12924 DISCOVERY CRK",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942207",
"telephone_number": "646-729-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13315 W WASHINGTON BLVD",
"address_2": "SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665169",
"telephone_number": "646-792-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIARAVANONT",
"first_name": "PALERATH",
"middle_name": "NATALIE",
"name_prefix": "Ms.",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14970",
"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 Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.