Kathleen Lustman Hirsch, C.A., LICAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC1304 Issued in CA

Practice address

366 Via Hidalgo
Greenbrae, CA 94904-1801

Phone

(415) 258-0950

NPI assigned

Nov 25, 2009

Last updated

Nov 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kathleen Lustman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1942538228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 VIA HIDALGO",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041801",
            "telephone_number": "415-258-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 VIA HIDALGO",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041801",
            "telephone_number": "415-258-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTMAN HIRSCH",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "C.A., LICAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LUSTMAN",
            "prefix": "MS.",
            "credential": "C.A.,LICAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kimberly Lottes, MFT
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• Louisa Lu, MD
• Jennifer B. Lucas, M.D.
• Natalya Lvoff, M.D.
• Nancy Ma
• John Maa, MD
• Gordon S Macdonald, DDS
• Ruth D Macquarrie, M.D.

• Acupuncturist in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.