Active NPI
Nicole Bradshaw, L. AC.
- Acupuncturist
- Studio City, CA
National Provider Identifier
1992852537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 8406
- Practice address
- 11638 Ventura Blvd
Unit B
Studio City, CA 91604-2653 - Phone
- (818) 509-9233
- Fax
- (818) 509-9799
- NPI assigned
- Jan 5, 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 | AC 8406 | CA | Primary |
Addresses
Primary practice location
11638 Ventura Blvd
Unit B
Studio City, CA 91604-2653
Mailing address
10061 Riverside Drive #811
Toluca Lake, CA 91602
Phone (818) 509-9233
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 |
|---|---|---|---|
| AC 8406 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992852537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10061 RIVERSIDE DRIVE #811",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "91602",
"telephone_number": "818-509-9233",
"fax_number": "818-509-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11638 VENTURA BLVD",
"address_2": "UNIT B",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042653",
"telephone_number": "818-509-9233",
"fax_number": "818-509-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "NICOLE",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 8406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
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.