Individual provider Active NPI

Jean Marie Morris, L.AC.

  • Acupuncturist
  • Redondo Beach, CA
National Provider Identifier
1760634307
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9913 Issued in CA
Practice address
1611 S. Pacific Coast Highway
Suite #308
Redondo Beach, CA 90277-5614
Phone
(310) 529-4554
Fax
(310) 540-1692
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9913 CA Primary
Acupuncturist 171100000X

Addresses

Primary practice location

1611 S. Pacific Coast Highway
Suite #308
Redondo Beach, CA 90277-5614

Mailing address

1611 S. Pacific Coast Highway
Suite 308
Redondo Beach, CA 90277-5614
Phone (310) 529-4554

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

LicenseStateTypeSpecialty
AC9913CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1760634307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S. PACIFIC COAST HIGHWAY",
            "address_2": "SUITE 308",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "310-529-4554",
            "fax_number": "310-540-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S. PACIFIC COAST HIGHWAY",
            "address_2": "SUITE #308",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "310-529-4554",
            "fax_number": "310-540-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9913",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.