Active NPI
Kimberly Gilmore, LAC, DAOM
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1699439844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC19192
- Practice address
- 8726 S Sepulveda Blvd # D1611
Los Angeles, CA 90045-4014 - Phone
- (773) 771-4713
- NPI assigned
- Oct 25, 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 | AC19192 | CA | Primary |
Addresses
Primary practice location
8726 S Sepulveda Blvd # D1611
Los Angeles, CA 90045-4014
Mailing address
8726 S Sepulveda Blvd # D1611
Los Angeles, CA 90045-4014
Phone (773) 771-4713
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC19192 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1699439844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8726 S SEPULVEDA BLVD # D1611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900454014",
"telephone_number": "773-771-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8726 S SEPULVEDA BLVD # D1611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900454014",
"telephone_number": "773-771-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "KIMBERLY",
"credential": "LAC, DAOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC19192",
"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 Oct 25, 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.