Individual provider Active NPI

John Fang, L.AC.

  • Acupuncturist
  • Rancho Cucamonga, CA
National Provider Identifier
1013080449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6976 Issued in CA
Practice address
10722 Arrow Rte
Suite 510
Rancho Cucamonga, CA 91730-4808
Phone
(909) 856-0670
Fax
(909) 484-8198
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6976 CA Primary

Addresses

Primary practice location

10722 Arrow Rte
Suite 510
Rancho Cucamonga, CA 91730-4808

Mailing address

10722 Arrow Rte
Suite 510
Rancho Cucamonga, CA 91730-4808
Phone (909) 856-0670

Other names 1

  • Mr. Jiuun Yau Fang Former name

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
AC6976CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013080449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE",
            "address_2": "SUITE 510",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304808",
            "telephone_number": "909-856-0670",
            "fax_number": "909-484-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE",
            "address_2": "SUITE 510",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304808",
            "telephone_number": "909-856-0670",
            "fax_number": "909-484-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIUUN YAU",
            "last_name": "FANG",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.