NPIMap

Organization Active NPI

Dr. Zhai Acupuncture Omd Lic Ac Inc

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1033465455
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6552 Issued in CA
Legal business name
DR. ZHAI ACUPUNCTURE OMD LIC AC INC
Practice address
2225 Broadway Blvd
Suite C
Santa Monica, CA 90404-2972
Phone
(310) 828-0107
Fax
(310) 828-9977
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Fengtao WangNPI 1861531758
Title
Secretery
Phone
(310) 828-0107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC6552 CA Primary

Addresses

Primary practice location

2225 Broadway Blvd
Suite C
Santa Monica, CA 90404-2972

Mailing address

2225 Broadway Blvd
Suite C
Santa Monica, CA 90404-2972
Phone (310) 828-0107

Other names 1

  • acupuncture and herb center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1033465455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 BROADWAY BLVD",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042972",
            "telephone_number": "310-828-0107",
            "fax_number": "310-828-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 BROADWAY BLVD",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042972",
            "telephone_number": "310-828-0107",
            "fax_number": "310-828-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ZHAI ACUPUNCTURE OMD LIC AC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "FENGTAO",
        "authorized_official_title_or_position": "SECRETERY",
        "authorized_official_telephone_number": "310-828-0107"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "acupuncture and herb center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.