Active NPI
Carla Vidor, L.AC
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1740518828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13025
- Practice address
- 2712 Wilshire Blvd
Santa Monica, CA 90403-4706 - Phone
- (424) 744-8366
- NPI assigned
- Nov 30, 2009
- 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 | 13025 | CA | Primary |
Addresses
Primary practice location
2712 Wilshire Blvd
Santa Monica, CA 90403-4706
Mailing address
644 Trophy TRL
Topanga, CA 90290-3659
Phone (310) 924-5204
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 |
|---|---|---|---|
| 13025 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1740518828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 TROPHY TRL",
"city": "TOPANGA",
"state": "CA",
"postal_code": "902903659",
"telephone_number": "310-924-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034706",
"telephone_number": "424-744-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDOR",
"first_name": "CARLA",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-30",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 27, 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.