Sacred Fortune

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SACRED FORTUNE

Practice address

1159 Logan St
Los Angeles, CA 90026-3210

Phone

(310) 880-2216

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Thomas

Title

Billing Manager

Phone

(424) 247-6468

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mechelle R Greenspan, L.AC.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1841531654
  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1821726563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 SCOTT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262458",
            "telephone_number": "310-880-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 LOGAN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263210",
            "telephone_number": "310-880-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED FORTUNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "424-247-6468"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Sacks, MD
• Wendy Sacks, M.D.
• Arianne D Sacramento
• Wendell Sacramento
• Sacred Entrance Midwifery Services
• Sacred Heart Hospice, Inc.
• Sacred One Hospice, Inc. (Sacred Heart Hospice Inc)
• Avishai Sadan, DMD
• Saba Sadat Khansari, PA-C
• Mamatha R Sadda, M.D.

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.