Active NPI
Nicole Burdock, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1649425398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12316
- Practice address
- 1457 Armacost Ave
Unit 202
Los Angeles, CA 90025-2227 - Phone
- (310) 755-4772
- NPI assigned
- Nov 21, 2008
- 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 | AC12316 | CA | Primary |
Addresses
Primary practice location
1457 Armacost Ave
Unit 202
Los Angeles, CA 90025-2227
Mailing address
1807 Wilshire Blvd Ste 205
Santa Monica, CA 90403-5678
Phone (310) 453-8668
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 |
|---|---|---|---|
| AC12316 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1649425398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 WILSHIRE BLVD STE 205",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035678",
"telephone_number": "310-453-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 ARMACOST AVE",
"address_2": "UNIT 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252227",
"telephone_number": "310-755-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDOCK",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12316",
"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 Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.