Individual provider Active NPI

Leah Eradat, L.AC.

  • Acupuncturist
  • Tarzana, CA
National Provider Identifier
1962150656
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19232 Issued in CA
Practice address
18102 Burbank Blvd Unit 32
Tarzana, CA 91356-2523
Phone
(424) 235-7988
NPI assigned
Mar 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19232 CA Primary

Addresses

Primary practice location

18102 Burbank Blvd Unit 32
Tarzana, CA 91356-2523

Mailing address

18102 Burbank Blvd Unit 32
Tarzana, CA 91356-2523
Phone (424) 235-7988

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
19232CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1962150656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 BURBANK BLVD UNIT 32",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562523",
            "telephone_number": "424-235-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 BURBANK BLVD UNIT 32",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562523",
            "telephone_number": "424-235-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERADAT",
        "first_name": "LEAH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.