Active NPI
Jeanne A Wilson, PHD., LAC
- Acupuncturist
- Beverly Hills, CA
National Provider Identifier
1982823332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- L.A.C. A8000
- Practice address
- 9025 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-1825 - Phone
- (310) 288-2128
- Fax
- (866) 295-8001
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- 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 | L.A.C. A8000 | CA | Primary |
Addresses
Primary practice location
9025 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-1825
Mailing address
9025 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-1825
Phone (310) 288-2128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L.A.C. A8000 | Other | CA | STATE LICENSE INFORMATION |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.A.C. A8000 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982823332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9025 WILSHIRE BLVD STE 200",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111825",
"telephone_number": "310-288-2128",
"fax_number": "866-295-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 WILSHIRE BLVD STE 200",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111825",
"telephone_number": "310-288-2128",
"fax_number": "866-295-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JEANNE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD., LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "L.A.C. A8000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE INFORMATION",
"identifier": "L.A.C. A8000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Wilshire Institute for Interventional Psychiatry Inc
- Wilshire Surgery Center, Inc.
- Wilshire Surgical Center
- Wilshire-Robertson Dialysis, LLC (U.S. Renal Care Beverly Hills Dialysis)
- Deshawn Wilson, LMT
- Patricia Mae Wilson, LCSW
- Reed Scott Wilson, M.D.
- Linda Keim Wiltz
- Sharon Winer, M.D., M.P.H
- Bryan L. Winkler, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.