Individual provider Active NPI

Chiraphorn Bangsriwong

  • Acupuncturist
  • Tarzana, CA
National Provider Identifier
1831740661
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18603 Issued in CA
Practice address
5567 Reseda Blvd Ste 219
Tarzana, CA 91356-2600
Phone
(626) 400-8666
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18603 CA Primary

Addresses

Primary practice location

5567 Reseda Blvd Ste 219
Tarzana, CA 91356-2600

Mailing address

13035 Tom White Way Ste L
Norwalk, CA 90650-8961
Phone (626) 400-8666

Other practice location 1

13035 Tom White Way Ste L
Norwalk, CA 90650-8961
Phone (626) 400-8666

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
18603CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1831740661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 TOM WHITE WAY STE L",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906508961",
            "telephone_number": "626-400-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 219",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562600",
            "telephone_number": "626-400-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13035 Tom White Way Ste L",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906508961",
            "country_code": "US",
            "telephone_number": "626-400-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGSRIWONG",
        "first_name": "CHIRAPHORN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.