Organization Active NPI

La Verne Acupuncture, PC

  • Acupuncturist
  • La Verne, CA
National Provider Identifier
1861730491
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LA VERNE ACUPUNCTURE, PC
Practice address
3827 Emerald Ave
La Verne, CA 91750-2904
Phone
(909) 599-2347
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Matthew Douglas Bauer, LICENSED ACUPUNCTURINPI 1447360813
Title
Owner
Phone
(909) 599-2347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3827 Emerald Ave
La Verne, CA 91750-2904

Mailing address

3827 Emerald Ave
La Verne, CA 91750-2904
Phone (909) 599-2347

National Provider Directory

National Provider Directory

Locations

3827 Emerald Ave
La Verne, CA 91750
Phone (909) 599-2347

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1861730491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 EMERALD AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502904",
            "telephone_number": "909-599-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 EMERALD AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502904",
            "telephone_number": "909-599-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VERNE ACUPUNCTURE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-599-2347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED ACUPUNCTURI"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.