Individual provider Active NPI

Jill Harrison, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1922306695
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9910 Issued in CA
Practice address
8300 W 3Rd St
Los Angeles, CA 90048-4311
Phone
(323) 653-3344
Fax
(323) 653-5853
NPI assigned
Mar 4, 2011
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9910 CA Primary

Addresses

Primary practice location

8300 W 3Rd St
Los Angeles, CA 90048-4311

Mailing address

8300 W 3Rd St
Los Angeles, CA 90048-4311
Phone (323) 653-3344

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
AC9910CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Static Health and Wellness Inc a Professional Corporation PastSince Feb 9, 2022 Accepting new patients
Marinaro Chiropractic Inc. PastSince Jun 3, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1922306695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484311",
            "telephone_number": "323-653-3344",
            "fax_number": "323-653-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484311",
            "telephone_number": "323-653-3344",
            "fax_number": "323-653-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.