Active NPI
Johnson Lee
- Acupuncturist
- Castro Valley, CA
National Provider Identifier
1013056498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5613
- Practice address
- 1637 Strobridge Ave
Castro Valley, CA 94546-5101 - Phone
- (510) 538-5328
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- 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 | AC5613 | CA | Primary |
Addresses
Primary practice location
1637 Strobridge Ave
Castro Valley, CA 94546-5101
Mailing address
1637 Strobridge Ave
Castro Valley, CA 94546-5101
Phone (510) 538-5328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 5613 | Other | CA | ACUPUNCTURIST |
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 |
|---|---|---|---|
| AC5613 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1013056498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1637 STROBRIDGE AVE",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465101",
"telephone_number": "510-538-5328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1637 STROBRIDGE AVE",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465101",
"telephone_number": "510-538-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHNSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURIST",
"identifier": "AC 5613",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.