Organization Active NPI

Jace Medical, Inc

  • Acupuncturist
  • North Hollywood, CA
National Provider Identifier
1790906170
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3835 Issued in CA
Legal business name
JACE MEDICAL, INC
Practice address
10843 Magnolia Blvd
Suite 1
North Hollywood, CA 91601-3922
Phone
(818) 505-8610
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Craig Jace, DOM, LAC, PA-C
Title
Ceo
Phone
(818) 505-8610

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 3835 CA Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X A38484 CA
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 12998 CA

Addresses

Primary practice location

10843 Magnolia Blvd
Suite 1
North Hollywood, CA 91601-3922

Mailing address

10843 Magnolia Blvd
Suite 1
North Hollywood, CA 91601-3922
Phone (818) 505-8610

Other names 1

  • Jace Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

10843 Magnolia Blvd
#1
North Hollywood, CA 91601
Phone (818) 505-8610

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790906170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10843 MAGNOLIA BLVD",
            "address_2": "SUITE 1",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013922",
            "telephone_number": "818-505-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10843 MAGNOLIA BLVD",
            "address_2": "SUITE 1",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013922",
            "telephone_number": "818-505-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JACE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-505-8610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM, LAC, PA-C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "3835",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A38484",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "12998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jace Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.