Individual provider Active NPI

Elena Nazabal-McManus, L.AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1609102086
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13275 Issued in CA
Practice address
12340 Santa Monica Blvd
Los Angeles, CA 90025-2500
Phone
(310) 488-7651
NPI assigned
Oct 20, 2009
Last updated
Oct 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13275 CA Primary

Addresses

Primary practice location

12340 Santa Monica Blvd
Los Angeles, CA 90025-2500

Mailing address

2555 Armacost Ave
Los Angeles, CA 90064-2715
Phone (310) 488-7651

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

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1609102086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 ARMACOST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642715",
            "telephone_number": "310-488-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252500",
            "telephone_number": "310-488-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZABAL-MCMANUS",
        "first_name": "ELENA",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13275",
            "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 Oct 20, 2009; 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.