Active NPI
Larry C. Forsberg, L.AC.
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1609812684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC3022
- Practice address
- 337 West Portal Av.
San Francisco, CA 94127 - Phone
- (415) 370-3839
- Fax
- (415) 242-2411
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 | AC3022 | CA | Primary |
Addresses
Primary practice location
337 West Portal Av.
San Francisco, CA 94127
Mailing address
2824 E. 23Rd St
Oakland, CA 94601
Phone (415) 370-3839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0030220 | Medicaid | CA |
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 |
|---|---|---|---|
| AC3022 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1609812684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 E. 23RD ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "415-370-3839",
"fax_number": "415-242-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 WEST PORTAL AV.",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94127",
"telephone_number": "415-370-3839",
"fax_number": "415-242-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSBERG",
"first_name": "LARRY",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC3022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC0030220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.