Individual provider Active NPI

Clarence Larry Brown, LIC AC

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1841342946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 5840 Issued in CA
Practice address
150 S El Molino Ave #101
Pasadena, CA 91101
Phone
(626) 795-9305
Fax
(626) 795-1246
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

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 AC 5840 CA Primary

Addresses

Primary practice location

150 S El Molino Ave #101
Pasadena, CA 91101

Mailing address

150 S El Molino Ave #101
Pasadena, CA 91101
Phone (626) 795-9305

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
AC 5840CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841342946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S EL MOLINO AVE #101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-795-9305",
            "fax_number": "626-795-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S EL MOLINO AVE #101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-795-9305",
            "fax_number": "626-795-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CLARENCE",
        "middle_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "LIC AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 5840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, 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.