Organization Active NPI

Tsubakiyama Acupuncture Clinic,Inc

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1922313485
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3953 Issued in CA
Legal business name
TSUBAKIYAMA ACUPUNCTURE CLINIC,INC
Practice address
1227 Lincoln Blvd Ste 303
Santa Monica, CA 90401-1755
Phone
(310) 394-2340
Fax
(310) 394-3831
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Mr. Kiyohide Tsubakiyama, L.ACNPI 1609903863
Title
President / Owner
Phone
(310) 394-2340

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 AC3953 CA Primary

Addresses

Primary practice location

1227 Lincoln Blvd Ste 303
Santa Monica, CA 90401-1755

Mailing address

1227 Lincoln Blvd Ste 303
Santa Monica, CA 90401-1755
Phone (310) 394-2340

Other names 1

  • Tsubakiyama Acupuncture Clinic, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1227 Lincoln Blvd
Ste 303
Santa Monica, CA 90401
Phone (310) 394-2340

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": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1922313485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN BLVD STE 303",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011755",
            "telephone_number": "310-394-2340",
            "fax_number": "310-394-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN BLVD STE 303",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011755",
            "telephone_number": "310-394-2340",
            "fax_number": "310-394-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSUBAKIYAMA ACUPUNCTURE CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "TSUBAKIYAMA",
        "authorized_official_first_name": "KIYOHIDE",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "310-394-2340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tsubakiyama Acupuncture Clinic, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.