Individual provider Active NPI

Atusa Amani, LAC

  • Acupuncturist
  • Marina del Rey, CA
National Provider Identifier
1770334534
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
20050 Issued in CA
Practice address
4314 Marina City Dr Unit 130
Marina del Rey, CA 90292-5814
Phone
(818) 940-6910
NPI assigned
Mar 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 20050 CA Primary

Addresses

Primary practice location

4314 Marina City Dr Unit 130
Marina del Rey, CA 90292-5814

Mailing address

4314 Marina City Dr Unit 130
Marina del Rey, CA 90292-5814
Phone (818) 940-6910

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
20050CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1770334534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 MARINA CITY DR UNIT 130",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925814",
            "telephone_number": "818-940-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 MARINA CITY DR UNIT 130",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925814",
            "telephone_number": "818-940-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANI",
        "first_name": "ATUSA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 29, 2024; 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.