Individual provider Active NPI

Jason A. Luban, L.AC.

  • Acupuncturist
  • Lafayette, CA
National Provider Identifier
1811088313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6124 Issued in CA
Practice address
961 Dewing Ave
Lafayette, CA 94549-4252
Phone
(925) 283-3860
Fax
(925) 283-3860
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6124 CA Primary

Addresses

Primary practice location

961 Dewing Ave
Lafayette, CA 94549-4252

Mailing address

6114 La Salle Ave # 230
Oakland, CA 94611-2802
Phone (510) 290-9393

Other identifiers 1

IdentifierTypeStateIssuer
AC6124OtherCALICENSE NO

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
AC6124CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lamorinda Healing Arts, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811088313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 LA SALLE AVE # 230",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112802",
            "telephone_number": "510-290-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 DEWING AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494252",
            "telephone_number": "925-283-3860",
            "fax_number": "925-283-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBAN",
        "first_name": "JASON",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "AC6124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.