Individual provider Active NPI

Chalaiporn Iamsirithaworn

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1639580939
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9876 Issued in CA
Practice address
1253 Vine St Ste 10
Los Angeles, CA 90038-1662
Phone
(323) 960-9084
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9876 CA Primary

Addresses

Primary practice location

1253 Vine St Ste 10
Los Angeles, CA 90038-1662

Mailing address

1253 Vine St Ste 10
Los Angeles, CA 90038-1662
Phone (323) 960-9084

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

LicenseStateTypeSpecialty
AC9876CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandee Wellness Center 2018, Inc Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1639580939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 VINE ST STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-960-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 VINE ST STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-960-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAMSIRITHAWORN",
        "first_name": "CHALAIPORN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9876",
            "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 May 8, 2014; 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.