Active NPI
Rachael Suzanne Garcia, DAOM, LAC, CMT
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1689132011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18039
- Practice address
- 11704 Wilshire Blvd Ste 293
Los Angeles, CA 90025-1541 - Phone
- (310) 575-8889
- NPI assigned
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | CA | ||
| Acupuncturist | 171100000X | 18039 | CA | Primary |
Addresses
Primary practice location
11704 Wilshire Blvd Ste 293
Los Angeles, CA 90025-1541
Mailing address
578 Washington Blvd # 60
Marina del Rey, CA 90292-5421
Phone (215) 650-7664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC18039 | Other | CA | CA DEPARTMENT OF CONSUMER AFFAIRS ACUPUNCTURE BOARD |
| CERT46962 | Other | CA | CA MASSAGE THERAPY COUNCIL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18039 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tara Diaz Wellness | 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.
-
- Acupuncturist
- El Segundo, CA
- NPI 1013445352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1689132011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 WASHINGTON BLVD # 60",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925421",
"telephone_number": "215-650-7664",
"fax_number": "323-306-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11704 WILSHIRE BLVD STE 293",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251541",
"telephone_number": "310-575-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RACHAEL",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "DAOM, LAC, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA DEPARTMENT OF CONSUMER AFFAIRS ACUPUNCTURE BOARD",
"identifier": "AC18039",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MASSAGE THERAPY COUNCIL",
"identifier": "CERT46962",
"state": "CA"
}
],
"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 May 21, 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.