Active NPI
Neil Gumenick
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1568289981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC1282
- Practice address
- 1460 7TH St Ste 202
Santa Monica, CA 90401-2631 - Phone
- (310) 453-2235
- NPI assigned
- Sep 25, 2024
- Last updated
- Sep 25, 2024
- Sex
- Male
- 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 | AC1282 | CA | Primary |
Addresses
Primary practice location
1460 7TH St Ste 202
Santa Monica, CA 90401-2631
Mailing address
8414 Farm Rd # 180305
Las Vegas, NV 89131-8170
Phone (702) 878-2841
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 |
|---|---|---|---|
| AC1282 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1568289981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8414 FARM RD # 180305",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891318170",
"telephone_number": "702-878-2841",
"fax_number": "702-878-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 7TH ST STE 202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012631",
"telephone_number": "310-453-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMENICK",
"first_name": "NEIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC1282",
"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 Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.