Individual provider Active NPI

Leigh Ellen Caldwell, L.AC.

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1659490399
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5440 Issued in CA
Practice address
14101 Yorba Street
Suite 105
Tustin, CA 92780-2041
Phone
(714) 742-6821
Fax
(949) 786-1663
NPI assigned
Mar 27, 2007
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5440 CA Primary

Addresses

Primary practice location

14101 Yorba Street
Suite 105
Tustin, CA 92780-2041

Mailing address

14101 Yorba Street, Suite 105
Tustin, CA 92780-3358
Phone (714) 742-6821

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
AC5440CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1659490399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 YORBA STREET, SUITE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803358",
            "telephone_number": "714-742-6821",
            "fax_number": "949-786-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 YORBA STREET",
            "address_2": "SUITE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802041",
            "telephone_number": "714-742-6821",
            "fax_number": "949-786-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "LEIGH",
        "middle_name": "ELLEN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.