Organization Active NPI

Wildflower Acupuncture Inc.

  • Acupuncturist
  • Burbank, CA
National Provider Identifier
1780419929
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WILDFLOWER ACUPUNCTURE INC.
Practice address
4404 W Riverside Dr Ste a
Burbank, CA 91505-4046
Phone
(818) 333-6324
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Dr. Laura Mann, LACCHMNPI 1437856085
Title
Owner, Doctor of Acupuncture
Phone
(818) 333-6324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4404 W Riverside Dr Ste a
Burbank, CA 91505-4046

Mailing address

4404 W Riverside Dr Ste a
Burbank, CA 91505-4046
Phone (818) 333-6324

Other identifiers 1

IdentifierTypeStateIssuer
1437856085MedicaidCA

Other names 1

  • Wildflower Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

4404 W Riverside Dr
Ste A
Burbank, CA 91505
Phone (818) 333-6324

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1780419929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 W RIVERSIDE DR STE A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054046",
            "telephone_number": "818-333-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 W RIVERSIDE DR STE A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054046",
            "telephone_number": "818-333-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF ACUPUNCTURE",
        "authorized_official_telephone_number": "818-333-6324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LACCHM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437856085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.