Individual provider Active NPI

Ioana Daniela Panduru, LACEMP

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1922817949
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC61638949 Issued in WA
Practice address
4307 Factoria Blvd SE Ste 2
Bellevue, WA 98006-1936
Phone
(425) 698-0760
NPI assigned
Jan 3, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC61638949 WA Primary

Addresses

Primary practice location

4307 Factoria Blvd SE Ste 2
Bellevue, WA 98006-1936

Mailing address

2582 Union Ave NE
Renton, WA 98059-3501
Phone (425) 442-2612

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
AC61638949WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1922817949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2582 UNION AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593501",
            "telephone_number": "425-442-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 FACTORIA BLVD SE STE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061936",
            "telephone_number": "425-698-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDURU",
        "first_name": "IOANA",
        "middle_name": "DANIELA",
        "credential": "LACEMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61638949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.