Individual provider Active NPI

Rosalind D Bullard, L.AC.MSTOM

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1699287847
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16585 Issued in CA
Practice address
2945 Rowena Ave
Los Angeles, CA 90039-2003
Phone
(347) 572-5686
Fax
(347) 572-5686
NPI assigned
Oct 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16585 CA Primary

Addresses

Primary practice location

2945 Rowena Ave
Los Angeles, CA 90039-2003

Mailing address

2945 Rowena Ave
Los Angeles, CA 90039-2003
Phone (347) 572-5686

Other names 1

  • Ms. Rosalind D Bullard Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosalind Bullard Acupuncture Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1699287847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 ROWENA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392003",
            "telephone_number": "347-572-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 ROWENA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392003",
            "telephone_number": "347-572-5686",
            "fax_number": "347-572-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "ROSALIND",
        "middle_name": "D",
        "credential": "L.AC.MSTOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIND",
            "last_name": "BULLARD",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "L.AC.,MSTOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 16, 2018; 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.