Active NPI
Alexander Yuzefovich, L.AC.
- Acupuncturist
- St Louis Park, MN
National Provider Identifier
1659960813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1967
- Practice address
- 6250 Excelsior Blvd Ste 204
St Louis Park, MN 55416-2735 - Phone
- (612) 822-2925
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 1967 | MN | Primary |
Addresses
Primary practice location
6250 Excelsior Blvd Ste 204
St Louis Park, MN 55416-2735
Mailing address
5733 W Lake St
Minneapolis, MN 55416-2108
Phone (612) 425-9117
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1659960813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5733 W LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554162108",
"telephone_number": "612-425-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 EXCELSIOR BLVD STE 204",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162735",
"telephone_number": "612-822-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUZEFOVICH",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.