Active NPI
Ilana Leib, DACM, L.AC
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1619783511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 20170
- Practice address
- 3380 20TH St Ste 102
San Francisco, CA 94110-2600 - Phone
- (267) 250-0833
- NPI assigned
- Dec 5, 2024
- Sex
- Female
- 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 | 20170 | CA | Primary |
Addresses
Primary practice location
3380 20TH St Ste 102
San Francisco, CA 94110-2600
Mailing address
1 Federal St Apt 4
San Francisco, CA 94107-1482
Phone (267) 250-0833
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 |
|---|---|---|---|
| 20170 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1619783511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST APT 4",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071482",
"telephone_number": "267-250-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 20TH ST STE 102",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102600",
"telephone_number": "267-250-0833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIB",
"first_name": "ILANA",
"credential": "DACM, L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "20170",
"primary": true
}
],
"identifiers": [],
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.