Active NPI
Denise Sheri Wiesner, L. AC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1740487644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 4831
- Practice address
- 2001 S Barrington Ave Ste 220
Los Angeles, CA 90025-5385 - Phone
- (310) 473-7474
- Fax
- (310) 473-9767
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | AC 4831 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave Ste 220
Los Angeles, CA 90025-5385
Mailing address
2001 S Barrington Ave Ste 220
Los Angeles, CA 90025-5385
Phone (310) 473-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC4831 | Other | CA | LICENSED ACUPUNCTURIST |
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 |
|---|---|---|---|
| AC 4831 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740487644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE STE 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255385",
"telephone_number": "310-473-7474",
"fax_number": "310-473-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE STE 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255385",
"telephone_number": "310-473-7474",
"fax_number": "310-473-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESNER",
"first_name": "DENISE",
"middle_name": "SHERI",
"credential": "L. AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 4831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED ACUPUNCTURIST",
"identifier": "AC4831",
"state": "CA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.