Organization Active NPI

Dia Vickery PHD(Theology), Licensed Acupuncturist; a Professional Corp

Doing business as Vickery Health & Wellness

  • Acupuncturist
  • Woodland Hills, CA
National Provider Identifier
1720449051
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 9644 Issued in CA
Legal business name
DIA VICKERY PHD(THEOLOGY), LICENSED ACUPUNCTURIST; A PROFESSIONAL CORP
Doing business as
Vickery Health & Wellness
Practice address
20750 Ventura Blvd Ste 203
Woodland Hills, CA 91364-6693
Phone
(818) 578-6730
Fax
(818) 578-6731
NPI assigned
Mar 15, 2016
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Dia Vickery, PHD LACNPI 1407912595
Title
Pres/Ceo
Phone
(818) 578-6730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 9644 CA Primary

Addresses

Primary practice location

20750 Ventura Blvd Ste 203
Woodland Hills, CA 91364-6693

Mailing address

20750 Ventura Blvd Ste 203
Woodland Hills, CA 91364-6693
Phone (818) 578-6730

Other names 1

  • Vickery Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

20700 Ventura Blvd
Ste 229
Woodland Hills, CA 91364

20750 Ventura Blvd
Ste 203
Woodland Hills, CA 91364
Phone (818) 578-6730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1720449051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD STE 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646693",
            "telephone_number": "818-578-6730",
            "fax_number": "818-578-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD STE 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646693",
            "telephone_number": "818-578-6730",
            "fax_number": "818-578-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIA VICKERY PHD(THEOLOGY), LICENSED ACUPUNCTURIST; A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "DIA",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "818-578-6730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 9644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vickery Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vickery Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.