Individual provider Active NPI

Edward Sunny Jwa

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1669777041
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 13820 Issued in CA
Practice address
435 N Larchmont Blvd
Los Angeles, CA 90004-3043
Phone
(213) 344-6905
NPI assigned
Jan 17, 2011
Last updated
Apr 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 13820 CA Primary

Addresses

Primary practice location

435 N Larchmont Blvd
Los Angeles, CA 90004-3043

Mailing address

3920 Oakgrove CT
Glendale, CA 91214-3257
Phone (213) 344-6905

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
AC 13820CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jwa Acupuncture Center, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1669777041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 OAKGROVE CT",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143257",
            "telephone_number": "213-344-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043043",
            "telephone_number": "213-344-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JWA",
        "first_name": "EDWARD",
        "middle_name": "SUNNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-17",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13820",
            "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 Apr 1, 2015; 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.