Individual provider Active NPI

Lena Bardovi, L.AC

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1699359000
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19107 Issued in CA
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

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
19107CAMDAcupuncturist

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.

Verify at the official NPI Registry.