Individual provider Active NPI

Glenda Maramba, L.AC.

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1932519899
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 17445 Issued in CA
Practice address
900 Wilshire Blvd
Suite 318
Santa Monica, CA 90401-1872
Phone
(424) 330-8210
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 17445 CA Primary

Addresses

Primary practice location

900 Wilshire Blvd
Suite 318
Santa Monica, CA 90401-1872

Mailing address

900 Wilshire Blvd
Suite 318
Santa Monica, CA 90401-1872
Phone (424) 330-8210

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
AC 17445CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1932519899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "SUITE 318",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "424-330-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "SUITE 318",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "424-330-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAMBA",
        "first_name": "GLENDA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 17445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 8, 2017; 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.