Jacqueline Medeiros, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC19841 Issued in CA

Practice address

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408

Phone

(310) 390-9018

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jac Medeiros Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1861272510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 OCEAN PARK BLVD APT C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053527",
            "telephone_number": "760-780-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661408",
            "telephone_number": "310-390-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "JACQUELINE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAC",
            "last_name": "MEDEIROS",
            "credential": "L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Noelle Anne Marie Medbery, ASW
• Medbetter Health Solutions, LLC
• Medco Home Health Care, Inc.
• Medcoast Medservices, Inc.
• Helena V Medeiros, MSW
• Carolina Medel, COUSELOR
• Jesse Medel
• Litzy Deborah Medel, PA
• John Anthony Medellin, BS
• Tarah Nicole Medellin

• 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 Oct 2, 2023; 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.