Active NPI
Michael Van, L.AC
- Acupuncturist
- Riverside, CA
National Provider Identifier
1023494259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 9368
- Practice address
- 16550 Catalonia Dr
Riverside, CA 92504-8701 - Phone
- (951) 343-2848
- Fax
- (951) 343-2969
- NPI assigned
- Aug 11, 2015
- 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 | AC 9368 | CA | Primary |
Addresses
Primary practice location
16550 Catalonia Dr
Riverside, CA 92504-8701
Mailing address
9901 Indiana Ave Ste 101
Riverside, CA 92503-5416
Phone (951) 343-2848
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 9368 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1023494259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 INDIANA AVE STE 101",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035416",
"telephone_number": "951-343-2848",
"fax_number": "951-343-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16550 CATALONIA DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925048701",
"telephone_number": "951-343-2848",
"fax_number": "951-343-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN",
"first_name": "MICHAEL",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 9368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.