Organization Active NPI

Daydream Acupuncture, Inc.

  • Acupuncturist
  • San Bernardino, CA
National Provider Identifier
1720528128
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
6852 Issued in CA
Legal business name
DAYDREAM ACUPUNCTURE, INC.
Practice address
155 W Hospitality LN
Suite 175
San Bernardino, CA 92408-3305
Phone
(818) 550-7860
Fax
(818) 550-7861
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Gagik Isahakian, L.AC.NPI 1801986831
Title
Officer
Phone
(818) 550-7860

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 6852 CA Primary

Addresses

Primary practice location

155 W Hospitality LN
Suite 175
San Bernardino, CA 92408-3305

Mailing address

600 W Broadway
Suite 135
Glendale, CA 91204-1022
Phone (818) 550-7860

Other identifiers 1

IdentifierTypeStateIssuer
1801986831OtherCANPI

National Provider Directory

National Provider Directory
Tax ID family
Daydream Acupuncture Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

155 W Hospitality Ln
#175
San Bernardino, CA 92408
Phone (818) 550-7860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1720528128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY",
            "address_2": "SUITE 135",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041022",
            "telephone_number": "818-550-7860",
            "fax_number": "818-550-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W HOSPITALITY LN",
            "address_2": "SUITE 175",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083305",
            "telephone_number": "818-550-7860",
            "fax_number": "818-550-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYDREAM ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "ISAHAKIAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "818-550-7860",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "6852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801986831",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.