Active NPI
Amy Inez Hazard, L.AC
- Acupuncturist
- Santa Barbara, CA
National Provider Identifier
1962932095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12655
- Practice address
- 4124 Modoc Rd
Santa Barbara, CA 93110-1808 - Phone
- (805) 637-8714
- NPI assigned
- Jun 12, 2017
- Last updated
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC12655 | CA | Primary |
Addresses
Primary practice location
4124 Modoc Rd
Santa Barbara, CA 93110-1808
Mailing address
4124 Modoc Rd
Santa Barbara, CA 93110-1808
Phone (805) 637-8714
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC12655 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1962932095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 MODOC RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101808",
"telephone_number": "805-637-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 MODOC RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101808",
"telephone_number": "805-637-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZARD",
"first_name": "AMY",
"middle_name": "INEZ",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.