Active NPI
Ryan Au, L.AC.
- Acupuncturist
- Oakland, CA
National Provider Identifier
1003328360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17519
- Practice address
- 1600 Broadway Ste 100
Oakland, CA 94612-2172 - Phone
- (510) 763-7787
- NPI assigned
- Oct 26, 2017
- Sex
- Male
- Sole proprietor
- No
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 | AC17519 | CA | Primary |
Addresses
Primary practice location
1600 Broadway Ste 100
Oakland, CA 94612-2172
Mailing address
1431 45TH Ave
San Francisco, CA 94122-2934
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 |
|---|---|---|---|
| AC17519 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1003328360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 45TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941222934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 BROADWAY STE 100",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122172",
"telephone_number": "510-763-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AU",
"first_name": "RYAN",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-26",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.