Individual provider Active NPI

Connie L Snelson, L.AC.,,CA, NCCA,

  • Acupuncturist
  • Redondo Beach, CA
National Provider Identifier
1821153263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3930 Issued in CA
Practice address
233 Avenida del Norte
Redondo Beach, CA 90277-5729
Phone
(310) 316-1441
Fax
(310) 792-1470
NPI assigned
Dec 26, 2006
Sex
Female
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 AC3930 CA Primary

Addresses

Primary practice location

233 Avenida del Norte
Redondo Beach, CA 90277-5729

Mailing address

233 Avenida del Norte
Redondo Beach, CA 90277-5729
Phone (310) 316-1441

Other names 1

  • Ms. Constance L Snelson Former name

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
AC3930CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821153263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 AVENIDA DEL NORTE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775729",
            "telephone_number": "310-316-1441",
            "fax_number": "310-792-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 AVENIDA DEL NORTE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775729",
            "telephone_number": "310-316-1441",
            "fax_number": "310-792-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELSON",
        "first_name": "CONNIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "L.AC.,,CA,   NCCA,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "SNELSON",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LIC ACUPUNCTURIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redondo Beach, 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.