Active NPI
Lena Bardovi, L.AC
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1699359000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19107
- Practice address
- 1137 2ND St Ste 213
Santa Monica, CA 90403-5076 - Phone
- (310) 924-1408
- NPI assigned
- May 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19107 | CA | Primary |
Addresses
Primary practice location
1137 2ND St Ste 213
Santa Monica, CA 90403-5076
Mailing address
845 Cold Canyon Rd
Calabasas, CA 91302-2200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | janeapp.com | Direct |
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 |
|---|---|---|---|
| 19107 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1699359000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 COLD CANYON RD",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913022200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 2ND ST STE 213",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035076",
"telephone_number": "310-924-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDOVI",
"first_name": "LENA",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "19107",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "janeapp.com",
"affiliation": "N",
"endpointDescription": "jane app",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1137 2nd St Ste 213",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904035076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.