The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Pedro and California

19 active clinicians are listed under Acupuncturist with a practice address in San Pedro, CA (10,655 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Pedro

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-31

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES CA AC17369

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location July 31, 2025

Registered at 823 W 9TH ST # 815, SAN PEDRO, CA 907313603 (Tel: 3106029518)

📍

Updated Business Mailing Address July 31, 2025

Registered at 2328 3RD ST APT 14, SANTA MONICA, CA 904053460 (Tel: 3106029518)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Acupuncturist (license number reported to NPPES: CA AC17369)

✅

NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 24, 2016

Registered at 647 W 5TH ST, H, SAN PEDRO, CA 907312533 (Tel: 3106029518)

📍

Business Mailing Address (Initial Record) October 24, 2016

Registered at 647 W 5TH ST, H, SAN PEDRO, CA 907312533 (Tel: 3106029518)

👤

Provider Name / Credentials (Initial Record) October 24, 2016

Recorded as ANNA BACK, L.AC.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Acupuncturist (license number reported to NPPES: CA AC 17369)

🟢

Initial NPI Registration & Enumeration October 24, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265983324

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2016

Last Update: July 31, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2328 3rd St Apt 14

Santa Monica, CA 904053460

Phone: 3106029518

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.