Individual provider Active NPI

Yong Chun Sha, LC.A

  • Acupuncturist
  • Sunnyvale, CA
National Provider Identifier
1033345905
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12965 Issued in CA
Practice address
1324 S Mary Ave
Sunnyvale, CA 94087-3130
Phone
(408) 585-8770
Fax
(408) 773-8961
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12965 CA Primary

Addresses

Primary practice location

1324 S Mary Ave
Sunnyvale, CA 94087-3130

Mailing address

PO Box 2746
Cupertino, CA 95015-2746
Phone (408) 585-8770

Other names 1

  • Ms. Annie Sha Other 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
12965CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1033345905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2746",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950152746",
            "telephone_number": "408-585-8770",
            "fax_number": "408-773-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S MARY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873130",
            "telephone_number": "408-585-8770",
            "fax_number": "408-773-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHA",
        "first_name": "YONG",
        "middle_name": "CHUN",
        "name_prefix": "Ms.",
        "credential": "LC.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "SHA",
            "prefix": "MS.",
            "credential": "LC.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.