Individual provider Active NPI

R. Antonio Whiteley, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1568670289
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 11735 Issued in CA
Practice address
8315 Beverly Blvd Ste 201
Los Angeles, CA 90048-2671
Phone
(310) 890-6959
Fax
(310) 388-0171
NPI assigned
May 18, 2007
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 11735 CA Primary

Addresses

Primary practice location

8315 Beverly Blvd Ste 201
Los Angeles, CA 90048-2671

Mailing address

8315 Beverly Blvd Ste 201
Los Angeles, CA 90048-2671
Phone (310) 890-6959

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
AC 11735CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
R Antonio Whiteley Acupuncture Inc CurrentSince Jun 12, 2022 Accepting new patients

Locations

8315 Beverly Blvd
Ste 201
Los Angeles, CA 90048
Phone (310) 890-6959

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1568670289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 BEVERLY BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482671",
            "telephone_number": "310-890-6959",
            "fax_number": "310-388-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 BEVERLY BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482671",
            "telephone_number": "310-890-6959",
            "fax_number": "310-388-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "R.",
        "middle_name": "ANTONIO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 11735",
            "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 Jun 8, 2022; 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.