Individual provider Active NPI

Josephine Alice Louise Wolf, LAC

  • Acupuncturist
  • Marina del Rey, CA
National Provider Identifier
1760941421
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17853 Issued in CA
Practice address
33 Eastwind St Apt 3
Marina del Rey, CA 90292-5786
Phone
(310) 430-1291
NPI assigned
Mar 12, 2019
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17853 CA Primary

Addresses

Primary practice location

33 Eastwind St Apt 3
Marina del Rey, CA 90292-5786

Mailing address

33 Eastwind St Apt 3
Marina del Rey, CA 90292-5786
Phone (310) 430-1291

Other names 1

  • Miss Josephine Alice Louise Miller Former name

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
17853CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Josephine Wolf Acupuncture Incorporated Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1760941421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 EASTWIND ST APT 3",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925786",
            "telephone_number": "310-430-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 EASTWIND ST APT 3",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925786",
            "telephone_number": "310-430-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JOSEPHINE",
        "middle_name": "ALICE LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "MILLER",
            "middle_name": "ALICE LOUISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.