Individual provider Active NPI

Vincent Xie, LAC

  • Acupuncturist
  • Livermore, CA
National Provider Identifier
1003046814
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12851 Issued in CA
Practice address
1308 Concannon Blvd
BLDG J
Livermore, CA 94550-6004
Phone
(925) 292-5567
Fax
(925) 292-5751
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12851 CA Primary

Addresses

Primary practice location

1308 Concannon Blvd
BLDG J
Livermore, CA 94550-6004

Mailing address

1308 Concannon Blvd
BLDG J
Livermore, CA 94550-6004
Phone (925) 292-5567

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

LicenseStateTypeSpecialty
AC12851CAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1003046814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CONCANNON BLVD",
            "address_2": "BLDG J",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "925-292-5567",
            "fax_number": "925-292-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 CONCANNON BLVD",
            "address_2": "BLDG J",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "925-292-5567",
            "fax_number": "925-292-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "VINCENT",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.