THE GREAT SALLY, LLC (NPI# 1720515604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720515604 |
| Entity Type | Organization |
| Organization Name | THE GREAT SALLY, LLC |
| Other Organization Name | A PLUS ACUPUNCTURE |
| Practice Address |
25 N 14th St Ste 440 San Jose CA 95112-6201 |
| Practice Telephone | 6693427696 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | SALLY SU (CLINIC MANAGER) |
| Authorized Official Telephone | 6693427696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| A Plus Acupuncture | Doing Business As Name - Organization |
| Street Address |
25 N 14TH ST STE 440 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841679404 | Xuyang Wang | Acupuncturist | 25 N 14th St Ste 440, San Jose, CA 95112-6201 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477807659 | Ultimate Care Center | Clinic/Center | 101 Ciro Ave, San Jose, CA 95128 | 2012-11-09 |
| 1740509132 | Henry Lee Health & Acupuncture Corp. | Clinic/Center | 2037 Croner Pl, San Jose, CA 95131-2565 | 2010-05-25 |
| 1235397571 | Jdd Medical Group Inc | Clinic/Center | 1674 Story Rd, San Jose, CA 95122-2102 | 2008-05-22 |
| 1376683151 | School Health Clinics of Santa Clara County | Clinic/Center | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2007-02-08 |
| 1083755631 | School Health Clinics of Santa Clara County | Clinic/Center | 1835 Cunningham Ave, San Jose, CA 95122-1712 | 2007-02-08 |
| 1578029526 | American Current Care of California, A Medical Corporation | Clinic/Center | 1901 Monterey Hwy Ste 10, San Jose, CA 95112-6126 | 2019-02-14 |
| 1336628866 | Sehn Zhang | Clinic/Center | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-08-07 |
| 1306291414 | Wellness Chiropractic Center | Clinic/Center | 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 | 2016-04-26 |
| 1649624776 | Healthycenter Inc. | Clinic/Center | 135 N Jackson Ave, San Jose, CA 95116-1917 | 2016-04-14 |
| 1265812309 | Ki Tae Kim Chiropractic Inc. | Clinic/Center | 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 | 2015-06-04 |
| Find all providers in SAN JOSE | ||||
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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.