TRACIE ALEXANDRA ENDELSON (NPI# 1417463605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417463605 |
| Entity Type | Individual |
| Full Name | TRACIE ALEXANDRA ENDELSON |
| Credential | L.AC. |
| Practice Address |
920 Prospect Ave Hermosa Beach CA 90254-4322 |
| Practice Telephone | 4242652480 |
| Enumeration Date | 2017-12-25 |
| Last Update Date | 2017-12-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 17874 | CA | Other Service Providers |
| Street Address |
920 PROSPECT AVE |
| City | HERMOSA BEACH |
| State | CA |
| Zip Code | 90254-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
| 1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
| 1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
| 1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
| 1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
| 1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
| 1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
| 1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
| 1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
| 1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
| Find all providers in zip 90254 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
| 1205905460 | Margaret Elizabeth Livingston | Acupuncturist | 2200 Pacific Coast Hwy Ste 210, Hermosa Beach, CA 90254-2701 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497557 | Golden Yung | Acupuncturist | 155 E 5th Ave, San Mateo, CA 94401-4108 | 2020-11-07 |
| 1316548951 | Sooyeon Yoon | Acupuncturist | 18765 Colima Rd, Rowland Heights, CA 91748-2949 | 2020-11-02 |
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1114528742 | Tao of Medicine Inc. | Acupuncturist | 2901 Wilshire Blvd Ste 335, Santa Monica, CA 90403-4930 | 2020-11-02 |
| 1518567643 | Jewel In The Lotus Healing | Acupuncturist | 1828 Felton St, San Diego, CA 92102-1230 | 2020-10-28 |
| 1700486784 | Srotas | Acupuncturist | 14758 Beach Blvd, La Mirada, CA 90638-4250 | 2020-10-28 |
| 1134728603 | Philip Reh | Acupuncturist | 451 Indian Springs Rd., Novato, CA 94947-4238 | 2020-10-25 |
| 1417556051 | Sharon Chen | Acupuncturist | 2440 S Hacienda Blvd Ste 231, Hacienda Heights, CA 91745-4774 | 2020-10-24 |
| 1609475078 | Marysa Kavalec | Acupuncturist | 2302 Oak St Apt 3, Santa Monica, CA 90405-5130 | 2020-10-18 |
| 1336747344 | Xiao Yan Liu | Acupuncturist | 16790 Ventry Way, San Lorenzo, CA 94580-1244 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | HERMOSA BEACH |
| Zip Code | 90254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.