Sprout Wellness Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SPROUT WELLNESS ACUPUNCTURE, INC.

Practice address

1074 S Plymouth Blvd
Los Angeles, CA 90019-6898

Phone

(213) 302-2477

NPI assigned

Jun 18, 2026

Organization subpart

No

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

Authorized official

Name

Annice ParkNPI 1215529698

Title

Lac

Phone

(213) 448-9658

Specialties & licenses 1

Addresses

Tax ID family

Sprout Wellness Acupuncture Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sprout Wellness Acupuncture, Inc.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1255263943
  NPD tax ID

Practitioners 1

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

• Annice Park, RN, LAC

  • Acupuncturist
  • Arcadia, CA
  • NPI 1215529698
  NPD Authorized official

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1750217857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 S PLYMOUTH BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196898",
            "telephone_number": "213-302-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 S PLYMOUTH BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196898",
            "telephone_number": "213-302-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT WELLNESS ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ANNICE",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "213-448-9658"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorrey Sproatt
• Scott W. Sproles, MD
• Derrick Sprouse
• Sprout Acupuncture, Inc. (Eroun Acupuncture)
• Sprout Wellness Acupuncture, Inc.
• Caelyn Spruiell-Anderson
• Jacob Spruill, NP
• Tanissia Sprull
• Sally Ann Spry-Smith, CNM,NP
• Hannah Heininger Spungen, MD, MPH

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.