Individual provider Active NPI

Michael Haley Waterhouse, L.AC.

  • Acupuncturist
  • Beverly Hills, CA
National Provider Identifier
1962535542
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC823 Issued in CA
Practice address
9401 Wilshire Blvd
Ste 545
Beverly Hills, CA 90212-2928
Phone
(310) 859-0444
Fax
(310) 859-0442
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC823 CA Primary

Addresses

Primary practice location

9401 Wilshire Blvd
Ste 545
Beverly Hills, CA 90212-2928

Mailing address

9401 Wilshire Blvd
Ste 545
Beverly Hills, CA 90212-2928
Phone (310) 859-0444

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
AC823CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1962535542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "STE 545",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122928",
            "telephone_number": "310-859-0444",
            "fax_number": "310-859-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "STE 545",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122928",
            "telephone_number": "310-859-0444",
            "fax_number": "310-859-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERHOUSE",
        "first_name": "MICHAEL",
        "middle_name": "HALEY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.