Individual provider Active NPI

David Chen, OMD, LAC

  • Acupuncturist
  • Lomita, CA
National Provider Identifier
1649704883
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4841 Issued in CA
Practice address
2018 Pacific Coast Hwy
#103 & #104
Lomita, CA 90717-2631
Phone
(310) 326-1008
NPI assigned
Apr 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC4841 CA Primary

Addresses

Primary practice location

2018 Pacific Coast Hwy
#103 & #104
Lomita, CA 90717-2631

Mailing address

2018 Pacific Coast Hwy
#103 & #104
Lomita, CA 90717-2631
Phone (310) 326-1008

Other identifiers 1

IdentifierTypeStateIssuer
1255862165OtherCATYPE 2 NPI

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
AC4841CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
DC Acupuncture and Herbs Center 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": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1649704883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 PACIFIC COAST HWY",
            "address_2": "#103 & #104",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172631",
            "telephone_number": "310-326-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 PACIFIC COAST HWY",
            "address_2": "#103 & #104",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172631",
            "telephone_number": "310-326-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OMD, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1255862165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.