Active NPI
Vanessa M Raber, L.AC
- Acupuncturist
- Canoga Park, CA
National Provider Identifier
1821255019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12028
- Practice address
- 22235 Sherman Way Ste 100
Canoga Park, CA 91303-1075 - Phone
- (805) 728-5004
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12028 | CA | Primary |
Addresses
Primary practice location
22235 Sherman Way Ste 100
Canoga Park, CA 91303-1075
Mailing address
1104 Cherokee
Topanga, CA 90290-4421
Phone (805) 728-5004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12028 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1821255019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 CHEROKEE",
"city": "TOPANGA",
"state": "CA",
"postal_code": "902904421",
"telephone_number": "805-728-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22235 SHERMAN WAY STE 100",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031075",
"telephone_number": "805-728-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABER",
"first_name": "VANESSA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.