Active NPI
Marissa Bacchetta Pearson, L.AC.
- Acupuncturist
- Sherman Oaks, CA
National Provider Identifier
1598152290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16511
- Practice address
- 13749 Riverside Dr Ste 200
Sherman Oaks, CA 91423-2446 - Phone
- (818) 523-4428
- NPI assigned
- Apr 20, 2015
- Last updated
- Nov 4, 2015
- 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 | 16511 | CA | Primary |
Addresses
Primary practice location
13749 Riverside Dr Ste 200
Sherman Oaks, CA 91423-2446
Mailing address
14301 Millbrook Dr
Sherman Oaks, CA 91423-4426
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 |
|---|---|---|---|
| 16511 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1598152290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 MILLBROOK DR",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914234426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13749 RIVERSIDE DR STE 200",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232446",
"telephone_number": "818-523-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "MARISSA",
"middle_name": "BACCHETTA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
- Mahshid Payan, BA, MA, MS, LMFT
- Liav Paz
- Peace of Mind Caring Home Health
- Jeffery C Peak, M.D.
- Anissa Pearson
- Yana Pechenik, PA
- Anna Grayce Pedersen
- Pediatric and Family Medical Center (Eisner Health)
- Pediatric and Family Medical Center (Eisner Health Dermatology at Sherman Oaks)
- Pediatric and Family Medical Center (Eisner Pediatric and Family Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.