ID ACUPUNCTURE (NPI# 1801304621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801304621 |
| Entity Type | Organization |
| Organization Name | ID ACUPUNCTURE |
| Practice Address |
13851 E 14th St Ste 203 San Leandro CA 94578-2627 |
| Practice Telephone | 5108958912 |
| Practice Fax Number | 5108958930 |
| Mailing Telephone | 5108958912 |
| Mailing Fax Number | 5108958930 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. BYOUNG WOOK MIN (OWNER) |
| Authorized Official Telephone | 5108958912 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
AC16564 | CA | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 California Ave Ste 100, Palo Alto, CA 943061636 | 5108958912 | 5108958930 |
| Street Address |
13851 E 14TH ST STE 203 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809621 | Diane Vincent Sharp | Specialist/Technologist, Other | 180 Leveland Ln Ste 1b, Modesto, CA 95350-2254 | 2020-07-28 |
| 1235791161 | Heidi Henderson | Specialist/Technologist, Other | 10606 Hageman Rd Ste B4, Bakersfield, CA 93312-9109 | 2019-07-01 |
| 1528574084 | Laura Becker | Specialist/Technologist, Other | 1155 Palm Ave, Imperial Beach, Imperial Beach, CA 91932-9193 | 2017-12-20 |
| 1225583073 | Kathleen Mcgraw | Specialist/Technologist, Other | 25030 Avenue Stanford Ste 100, Valencia, CA 91355-4505 | 2016-08-22 |
| 1932555042 | Dawn Percer | Specialist/Technologist, Other | 29377 Rancho California Rd Ste 101, Temecula, CA 92591-5206 | 2016-05-06 |
| 1104282177 | Shane Wallin | Specialist/Technologist, Other | 1968 Garnet Ave, San Diego, CA 92109-3555 | 2016-01-06 |
| 1700286804 | Holly Feneht | Specialist/Technologist, Other | 21826 Grovepark Dr, Saugus, CA 91350-1616 | 2014-08-26 |
| 1285057273 | Restorative Ink Specialists | Specialist/Technologist, Other | 1218 Irvine Blvd # 13, Tustin, CA 92780-3531 | 2014-01-27 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1598045577 | Jill Hoyer | Specialist/Technologist, Other | 413b Monterey Ave, Los Gatos, CA 95030-5302 | 2011-08-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on ID ACUPUNCTURE.
| 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.