Active NPI
Cynthia Bodas, DAOM, L.AC.
- Acupuncturist
- Aiea, HI
National Provider Identifier
1982117222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17911
- Practice address
- 98-199 Kamehameha Hwy Ste F3
Aiea, HI 96701-4820 - Phone
- (808) 364-1555
- NPI assigned
- Nov 8, 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 | 17911 | CA | Primary |
Addresses
Primary practice location
98-199 Kamehameha Hwy Ste F3
Aiea, HI 96701-4820
Mailing address
98-199 Kamehameha Hwy Ste F3
Aiea, HI 96701-4820
Phone (808) 364-1555
Other practice location 1
1158 Oakview Rd
San Jose, CA 95121-2636
Phone (831) 332-2091
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 |
|---|---|---|---|
| 17911 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East 2 West Integrative Medicine LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1982117222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-199 KAMEHAMEHA HWY STE F3",
"city": "AIEA",
"state": "HI",
"postal_code": "967014820",
"telephone_number": "808-364-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-199 KAMEHAMEHA HWY STE F3",
"city": "AIEA",
"state": "HI",
"postal_code": "967014820",
"telephone_number": "808-364-1555"
}
],
"practiceLocations": [
{
"address_1": "1158 Oakview Rd",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951212636",
"country_code": "US",
"telephone_number": "831-332-2091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BODAS",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "DAOM, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.