Individual provider Active NPI

Madalina Mateescu

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1659577245
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11305 Issued in CA
Practice address
5910 Monterey Rd
Los Angeles, CA 90042-4943
Phone
(323) 551-5962
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11305 CA Primary

Addresses

Primary practice location

5910 Monterey Rd
Los Angeles, CA 90042-4943

Mailing address

101 Bridewell St
Apt. 245
Los Angeles, CA 90042-3700
Phone (310) 710-3099

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
11305CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Center for Integrative Medicine Acupuncturist Past Accepting new patients
Herbalroom Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659577245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRIDEWELL ST",
            "address_2": "APT. 245",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423700",
            "telephone_number": "310-710-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424943",
            "telephone_number": "323-551-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEESCU",
        "first_name": "MADALINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11305",
            "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 Jul 8, 2007; 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.