Active NPI
Gabriela Underwood, LAC
- Acupuncturist
- Brea, CA
National Provider Identifier
1578960928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 16290
- Practice address
- 690 Oakhaven Ave
US
Brea, CA 92823-6331 - Phone
- (714) 588-6405
- NPI assigned
- Dec 1, 2014
- 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 | AC 16290 | CA | Primary |
Addresses
Primary practice location
690 Oakhaven Ave
US
Brea, CA 92823-6331
Mailing address
690 Oakhaven Ave
US
Brea, CA 92823-6331
Phone (714) 588-6405
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 |
|---|---|---|---|
| AC 16290 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David F. Jesse MD, Inc | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Brea, CA
- NPI 1619909819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1578960928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 OAKHAVEN AVE",
"address_2": "US",
"city": "BREA",
"state": "CA",
"postal_code": "928236331",
"telephone_number": "714-588-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 OAKHAVEN AVE",
"address_2": "US",
"city": "BREA",
"state": "CA",
"postal_code": "928236331",
"telephone_number": "714-588-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "GABRIELA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 16290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
- Shelly Lynn Tumler, PT
- Sophia Janessa Tyree
- Tyrone Hospice Care, Inc.
- Tyler Uhrich, DPT
- Brett E. Underwood, D.C.
- Christina Ung, FNP
- Sally Anne Ungheanu, BA, RBT
- United Integrity Care of California, Inc. (Woodrose Care Gome)
- United Medical Imaging Healthcare, Inc. (United Medical Imaging of Brea)
- United Medical Radiology Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.