Active NPI
Kaisa Marie Lopes, L.AC.
- Acupuncturist
- Lake Forest, CA
National Provider Identifier
1821274465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 12077
- Practice address
- 22691 Lambert St
Suite 512
Lake Forest, CA 92630-1614 - Phone
- (949) 533-7114
- NPI assigned
- Jan 14, 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 | AC 12077 | CA | Primary |
Addresses
Primary practice location
22691 Lambert St
Suite 512
Lake Forest, CA 92630-1614
Mailing address
21082 Cimmaron LN
Trabuco Canyon, CA 92679-3300
Phone (949) 533-7114
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 |
|---|---|---|---|
| AC 12077 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1821274465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21082 CIMMARON LN",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926793300",
"telephone_number": "949-533-7114",
"fax_number": "949-713-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22691 LAMBERT ST",
"address_2": "SUITE 512",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301614",
"telephone_number": "949-533-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPES",
"first_name": "KAISA",
"middle_name": "MARIE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 12077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.