Individual provider Active NPI

Justin Bovert, L.AC.

  • Acupuncturist
  • Sacramento, CA
National Provider Identifier
1780076836
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16366 Issued in CA
Practice address
5340 Elvas Ave Ste 100
Sacramento, CA 95819-2394
Phone
(916) 822-4082
Fax
(844) 832-3639
NPI assigned
Feb 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC16366 CA Primary

Addresses

Primary practice location

5340 Elvas Ave Ste 100
Sacramento, CA 95819-2394

Mailing address

5340 Elvas Ave Ste 100
Sacramento, CA 95819-2394
Phone (916) 822-4082

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
AC16366CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1780076836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 ELVAS AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192394",
            "telephone_number": "916-822-4082",
            "fax_number": "844-832-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 ELVAS AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192394",
            "telephone_number": "916-822-4082",
            "fax_number": "844-832-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVERT",
        "first_name": "JUSTIN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

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