Active NPI
Yiqun Dykstra, LAC.
- Acupuncturist
- Laguna Hills, CA
National Provider Identifier
1003143645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13325
- Practice address
- 23232 Peralta Dr
Ste 108
Laguna Hills, CA 92653-1443 - Phone
- (949) 334-0638
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 13325 | CA | Primary |
Addresses
Primary practice location
23232 Peralta Dr
Ste 108
Laguna Hills, CA 92653-1443
Mailing address
23232 Peralta Dr
Ste 108
Laguna Hills, CA 92653-1443
Phone (949) 334-0638
Other names 1
- Yiqun Fu
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 13325 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1003143645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23232 PERALTA DR",
"address_2": "STE 108",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531443",
"telephone_number": "949-334-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23232 PERALTA DR",
"address_2": "STE 108",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531443",
"telephone_number": "949-334-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKSTRA",
"first_name": "YIQUN",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YIQUN",
"last_name": "FU",
"credential": "LAC.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.