NPIMap

Organization Active NPI

Holistic Sports Acupuncture

  • Acupuncturist
  • Carson, CA
National Provider Identifier
1639550247
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 14368 Issued in CA
Legal business name
HOLISTIC SPORTS ACUPUNCTURE
Practice address
1000 E Dominguez St
Suite 101
Carson, CA 90746-3600
Phone
(310) 327-1325
NPI assigned
Jun 10, 2015
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Melani Leonard-Cooper, L.AC.NPI 1417206715
Title
Owner/Acupuncturist
Phone
(323) 710-6751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 14368 CA Primary

Addresses

Primary practice location

1000 E Dominguez St
Suite 101
Carson, CA 90746-3600

Mailing address

1627 N Poinsettia PL
Apt.17
Los Angeles, CA 90046-3566

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1639550247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 N POINSETTIA PL",
            "address_2": "APT.17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST",
            "address_2": "SUITE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463600",
            "telephone_number": "310-327-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SPORTS ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "LEONARD-COOPER",
        "authorized_official_first_name": "MELANI",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "323-710-6751",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 14368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.